MARK BRIAN WAGNER

WEBSTER, TX
NPI1740074699
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-04-07
Last Update Date2025-04-07
Business Address
MARK BRIAN WAGNER DO
500 W MEDICAL CENTER BLVD
WEBSTER, TX 77598-4220
Phone number: 281-332-2511
Mailing Address
MARK BRIAN WAGNER DO
5540 OSO PKWY APT 14
CORPUS CHRISTI, TX 78413-6226
Phone number: 361-658-9684