DR. Theresa Ebanks Wagner, M.D.

NPI #1912984857 in Cedar Park, Texas

Provider Information

NPI Number: 1912984857
Entity Type: Individual
Name: DR. Theresa Ebanks Wagner, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology
Credential: M.D.
Enumeration Date: Dec 30, 2005
Last Updated: Jan 3, 2024

Practice Location

Address: 925 STARWOOD DR
City: Cedar Park
State: Texas
ZIP Code: 78613
Phone: (512) 327-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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