Wagner, Ashley Christine

Wagner, Ashley Christine is an individual health care provider with primary practice located at 3724 Executive Center Dr Ste G10 , Austin TX 78731-1665. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Wagner, Ashley Christine can be contacted via phone (512) 324-9720.

Contact Information

Primary practice address
3724 Executive Center Dr Ste G10 Austin TX 78731-1665
Phone: (512) 324-9720
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2083S0010X AT5055 Texas

Profile Details

NPI number 1104382936
LBN Legal business name Wagner, Ashley Christine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2019
Last updated Feb 18th, 2019 - about 5 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104382936 NPPES
Texas Other AT5055 STATE OF TEXAS LICENSURE
Texas Other 2000007383 STATE OF TEXAS LICENSURE

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