Tara T Wagner, MD | |
3501 Mills Ave, Austin, TX 78731 | |
(512) 324-2080 | |
Not Available |
Full Name | Tara T Wagner |
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Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 3501 Mills Ave, Austin, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144422098 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | N2876 (Texas) | Primary |
Entity Name | The University Of Texas At Austin |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073066239 PECOS PAC ID: 2668559436 Enrollment ID: O20080408000293 |
Entity Name | Tri-county Clinical |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336456227 PECOS PAC ID: 1153502869 Enrollment ID: O20110228000657 |
Entity Name | Health And Human Services Commission |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356414692 PECOS PAC ID: 2163795824 Enrollment ID: O20170908001058 |
Mailing Address | Practice Location Address |
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Tara T Wagner, MD 1601 Trinity St Stop Z0200, Austin, TX 78712-1850 Ph: (512) 495-5512 | Tara T Wagner, MD 3501 Mills Ave, Austin, TX 78731 Ph: (512) 324-2080 |
Dr. Chad Alan Hooten, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 601 E 15th St, Austin, TX 78701 Phone: 512-324-2000 | |
Kristin Yeung Lasseter, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4022 Menchaca Rd, Austin, TX 78704 Phone: 512-982-4116 Fax: 512-265-9008 | |
Priyanka Gurru, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1201 W 38th St, Austin, TX 78705 Phone: 512-495-5555 | |
Kira Allison, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1500 Red River St, Austin, TX 78701 Phone: 512-495-5555 | |
Robert Feinstein, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1601 Trinity St, Austin, TX 78712 Phone: 833-882-2737 Fax: 888-698-8329 | |
Ava M. Lee, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 56 East Ave, Austin, TX 78701 Phone: 512-472-4357 Fax: 512-703-1394 | |
Dr. Lindsay Erin Elton, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7940 Shoal Creek Blvd Ste 100, Austin, TX 78757 Phone: 512-494-4000 Fax: 512-494-4024 |