ASHLEY CHRISTINE WAGNER NPI 1104382936

NPI Information

  • NPI: 1104382936
  • Provider Name: ASHLEY CHRISTINE WAGNER
  • Classification: Preventive Medicine - 2083S0010X
  • Specialization: Sports Medicine
  • Entity Type: Individual
  • Address: 3724 EXECUTIVE CENTER DR STE G10
    AUSTIN, TX
    ZIP 78731
  • Phone: (512) 324-9720

Map and Directions

Get Directions

NPI Details

Ashley Christine Wagner is a sports medicine preventive medicine in Austin, TX. The provider is a preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries. Ashley Christine Wagner NPI is 1104382936. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3724 EXECUTIVE CENTER DR STE G10
AUSTIN, TX
ZIP 78731-665
Phone: (512) 324-9720

The enumeration date for this NPI number is 2/18/2019 and was last updated on 2/18/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12083S0010XPreventive MedicineSports MedicineAT5055TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AT5055OTHERTEXASSTATE OF TEXAS LICENSURE
22000007383OTHERBOARD OF CERTIFICATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI