DAVID M WAGNER

FORT WORTH, TX
NPI1689735615
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  704521)
Enumeration Date2006-12-13
Last Update Date2010-05-18
Business Address
-- DAVID M WAGNER CRNA
801 7TH AVE
FORT WORTH, TX 76104-2733
Phone number: 682-885-4054
Mailing Address
-- DAVID M WAGNER CRNA
PO BOX 162835
FORT WORTH, TX 76161-2835
Phone number: 817-334-0530
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