Jamie Lynn Wagner, D.O.

NPI #1154534733 in Houston, Texas

Provider Information

NPI Number: 1154534733
Entity Type: Individual
Name: Jamie Lynn Wagner, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: D.O.
Enumeration Date: May 8, 2007
Last Updated: Oct 17, 2012

Practice Location

Address: 1515 HOLCOMBE BLVD
City: Houston
State: Texas
ZIP Code: 77030-4009
Phone: (713) 792-6161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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