Dax Eli Wagner
Dax Eli Wagner is a Computed Tomography Radiologic Technologist in Lufkin, Texas. Licensed in Texas. Registered with an NPI since 2018.
- Licensed in
- TX
- In the registry since
- 2018
- Specialties on file
- 3
Practice location Address checks out
815 Hanks StLufkin, TX 75904-4961
Phone: (936) 635-2840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Radiologic Technologist (primary) | Taxonomy 247100000X · Licence GMR00096682 (TX) |
|---|---|
| Computed Tomography Radiologic Technologist | Taxonomy 2471C3401X · Licence GMR00096682 (TX) |
| Radiography Radiologic Technologist | Taxonomy 2471C3402X · Licence GMR00096682 (TX) |
Record details
| NPI number | 1205308707 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 20, 2018 |
| Last updated in NPPES | December 20, 2018 |
| Mailing address | 815 Hanks St, Lufkin, TX 75904-4961 |