Ashley Christine Wagner, - Preventive Medicine in Austin, TX

Ashley Christine Wagner, is a Preventive Medicine - Sports Medicine physician based in Austin, Texas. Ashley Christine Wagner is licensed to practice in Texas (license number AT5055) and her current practice location is 3724 Executive Center Dr Ste G10, Austin, Texas. She can be reached at her office (for appointments etc.) via phone at (512) 324-9720.

NPI number for Ashley Christine Wagner is 1104382936 and her current mailing address is 428 Lewisville Ln, Leander, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104382936.

Contact Information

Ashley Christine Wagner,
3724 Executive Center Dr Ste G10,
Austin, TX 78731-1665
(512) 324-9720
Not Available

Map and Direction




Physician's Profile

Full NameAshley Christine Wagner
GenderFemale
SpecialityPreventive Medicine - Sports Medicine
Location3724 Executive Center Dr Ste G10, Austin, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104382936
  • Provider Enumeration Date: 02/18/2019
  • Last Update Date: 02/18/2019

Medical Identifiers

Medical identifiers for Ashley Christine Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104382936NPI-NPPES
AT5055OtherTXSTATE OF TEXAS LICENSURE
2000007383OtherBOARD OF CERTIFICATION

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083S0010XPreventive Medicine - Sports Medicine AT5055 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ashley Christine Wagner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ashley Christine Wagner,
428 Lewisville Ln,
Leander, TX 78641-4046

Ph: (361) 500-2803
Ashley Christine Wagner,
3724 Executive Center Dr Ste G10,
Austin, TX 78731-1665

Ph: (512) 324-9720

Reviews and Comments


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