Wagner, Gina L
Wagner, Gina L is an individual health care provider with primary practice located at 4135 S Broadway Ave , Tyler TX 75701-8720. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Wagner, Gina L can be contacted via phone (713) 297-7000.Contact Information
Primary practice address
4135 S Broadway Ave
Tyler TX 75701-8720
Phone: (713) 297-7000
Fax: (713) 297-7090
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1105294 | Texas |
Profile Details
| NPI number | 1447434980 |
|---|---|
| LBN Legal business name | Wagner, Gina L |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2007 |
| Last updated | Dec 19th, 2007 - about 17 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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