Wagen, Brooke Ruth

Wagen, Brooke Ruth is an individual health care provider with primary practice located at 2820 E Martin Luther King Jr Blvd , Austin TX 78702-1544. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Wagen, Brooke Ruth can be contacted via phone (512) 322-0747.

Contact Information

Primary practice address
2820 E Martin Luther King Jr Blvd Austin TX 78702-1544
Phone: (512) 322-0747
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X U1789 Texas
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X U1789 Texas

Profile Details

NPI number 1871114561
LBN Legal business name Wagen, Brooke Ruth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2020
Last updated Jun 12th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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