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Kelly Wanzer

NPI 1801479506 · on the registry since 2021

Practice

Address
2012 Pebble Beach Ct
Richardson, TX 75082
Phone
(469) 241-9100

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-04-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas