P Praxis·MD
● Active Type 1 · Individual

Ashley Christine Wagner

Preventive Medicine·Austin, TX· NPI 1104382936 · Enumerated 2019 · 7 years on NPI
Wagner is 1 of 2 preventive medicine providers in Austin and 1 of 14 in Texas.
NPI age
7 years
Enumerated 2019-02-18
Primary specialty
Preventive Medicine
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-02-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 14 active preventive medicine providers in Texas.

NPI age
7 years
≈ at median (6 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
28% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-02Enumerated in NPPES
2019 2026

Where they practice

Practice location
3724 Executive Center Dr Ste G10
Austin, TX 787311665
📞 5123249720
Mailing address
428 Lewisville Ln
Leander, TX 786414046
📞 3615002803

Specialties

  • Preventive Medicine Primary
    A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
    TX license #AT5055 taxonomy 2083S0010X

Identifiers

TypeValueNotes
01 (TX) AT5055 STATE OF TEXAS LICENSURE
01 2000007383 BOARD OF CERTIFICATION

Practice context

Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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