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1801858311
JAMES L WAGGENER
FORT WORTH, TX
NPI
1801858311
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX F6341)
Enumeration Date
2006-04-03
Last Update Date
2012-08-09
Business Address
-- JAMES L WAGGENER DO
855 MONTGOMERY
FORT WORTH, TX 76107-2553
Phone number: 817-884-3380
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Mailing Address
-- JAMES L WAGGENER DO
PO BOX 99335
FORT WORTH, TX 76199-0335
Phone number: 817-884-3380
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