Individual provider · Type 1 NPI

Alison Wagner

Medical Physician Assistant · Fort Worth, TX

NPI number 1154027472 Active

Practice location

1023 Lipscomb St Ste 200
Fort Worth, TX 76104-3102

Call (817) 915-4784 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X758058 (TX)

Medical Physician Assistant: Definition to come...

24 other providers at this address

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About NPI 1154027472

Alison Wagner's National Provider Identifier is 1154027472, issued on Feb 7, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Worth, TX. The record was last updated on Feb 10, 2023.