DAX WAGNER

Radiologic Technologist

Active Individual
NPI: 1205308707

Practice Address

815 HANKS ST
Lufkin, TX 75904

Phone: (936) 635-2840

Specialties

Specialty Code Primary License
Radiologic Technologist - Computed Tomography 2471C3401X No GMR00096682 (TX)
Radiologic Technologist - Radiography 2471C3402X No GMR00096682 (TX)
Radiologic Technologist 247100000X Yes GMR00096682 (TX)

Frequently Asked Questions

NPI 1205308707 is the National Provider Identifier for DAX WAGNER, a Radiologic Technologist provider located in Lufkin, TX. This NPI was enumerated on December 20, 2018.
DAX WAGNER practices at 815 HANKS ST, Lufkin, TX 75904.

Quick Facts

NPI
1205308707
Type
Individual
Enumerated
Dec 20, 2018
Last Updated
Dec 20, 2018

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