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Jerica A Wagner
Specialist in Angleton, Texas
NPI 1306026547

Jerica A Wagner is a Specialist based in Angleton, TX. Jerica A Wagner practices in Angleton, TX. The NPI Number for Jerica A Wagner is 1306026547 and holds a License No. (Texas).

The current practice location address for Jerica A Wagner is 120 E Hospital Dr, Angleton, TX and can be reached out via phone at 979-849-2447 and via fax at 979-848-8337.

Location: 120 E Hospital Dr, Angleton, TX, 77515-4112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306026547
Provider Name
Jerica A Wagner
Credential
Provider Entity Type
Individual
Gender
Female
Address
120 E Hospital Dr, Angleton, TX, 77515-4112
Phone Number
979-849-2447
Fax Number
979-848-8337
Provider Enumeration Date
11/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00U38X 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
120 E Hospital Dr
City
Angleton
State
Texas
Zip
77515-4112
Phone Number
979-849-2447
Fax Number
979-848-8337
person
Provider Business Mailing Address Details
Address
120 E Hospital Dr
City
Angleton
State
Texas
Zip
77515-4112
Phone Number
979-849-2447
Fax Number
979-848-8337
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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