IndividualActive
Alison Wagner
NPI 1154027472 · Medical Physician Assistant · Fort Worth, TX
Provider details
- NPI number
- 1154027472
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 758058 (TX)
Practice location
1023 Lipscomb St Ste 200
Fort Worth, TX 76104-3102
Phone: (817) 915-4784
Mailing address
1023 Lipscomb St Ste 200
Fort Worth, TX 76104-3102
Registry dates
- Enumerated
- 2023-02-07
- Last updated
- 2023-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.