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1700983582
DANIEL JASON WAGNER
CORPUS CHRISTI, TX
NPI
1700983582
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: TX L8997)
Enumeration Date
2006-09-20
Last Update Date
2009-06-15
Business Address
Dr. DANIEL JASON WAGNER M.D.
13526 PESETA CT
CORPUS CHRISTI, TX 78418-6932
Phone number: 361-949-0354
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Mailing Address
Dr. DANIEL JASON WAGNER M.D.
13526 PESETA CT
CORPUS CHRISTI, TX 78418-6932
Phone number: 361-949-0354
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