Individual provider · Type 1 NPI
Ashley Christine Wagner
Sports Medicine (Preventive Medicine) Physician · Austin, TX
NPI number
1104382936
Active
Practice location
3724 Executive Center Dr Ste G10
Austin, TX 78731-1665
Mailing address
428 Lewisville Ln
Leander, TX 78641-4046
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine (Preventive Medicine) Physician Primary | 2083S0010X | AT5055 (TX) |
Sports Medicine (Preventive Medicine) Physician: A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
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About NPI 1104382936
Ashley Christine Wagner's National Provider Identifier is 1104382936, issued on Feb 18, 2019. The primary taxonomy on file is Sports Medicine (Preventive Medicine) Physician (2083S0010X), and the practice location is in Austin, TX. The record was last updated on Feb 18, 2019.