NPI 1104382936
Ashley Christine Wagner
Practice location
- Address
- 3724 Executive Center Dr STE G10, Austin, TX 78731-1665
- Phone
- (512) 324-9720
- Mailing address
- 428 Lewisville Ln, Leander, TX 78641-4046
Registered specialties
Sports Medicine (Preventive Medicine) Physician
Primary
Registry record
- NPI
- 1104382936
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Feb 2019
- Record last updated
- 18 Feb 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.