| Organization Name: | TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER |
| NPI Number: | 1235344334 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEVEN M. WAGNER (MANAGING DIRECTOR) |
| Mailing Address: | 4815 Alameda Ave El Paso |
| State: | TX US |
| Postal Code: | 799052705 |
| Phone Number: | 9155459795 |
| Fax Number: | 9155459799 |
| NPI Enumeration Date: | 05/11/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |