Search › Texas › 163W00000X
Whitney Wagner
NPI 1992393334 · on the registry since 2020
Practice
- Address
- 29914 Tallow Grove Ln
Brookshire, TX 77423 - Phone
- (707) 410-9461
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-12-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas