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1912984857
THERESA EBANKS WAGNER
CEDAR PARK, TX
NPI
1912984857
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Former Name
THERESA LYNN EBANKS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: TX H6185)
Enumeration Date
2005-12-30
Last Update Date
2024-01-03
Business Address
DR. THERESA EBANKS WAGNER M.D.
925 STARWOOD DR
CEDAR PARK, TX 78613
Phone number: 512-327-7000
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Mailing Address
DR. THERESA EBANKS WAGNER M.D.
5717 BALCONES DR
AUSTIN, TX 78731-4203
Phone number: 512-327-7000
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