Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAX ELI WAGNER
ActiveDAX ELI WAGNER is a Radiologic Technologist healthcare provider located in LUFKIN, Texas. NPI 1205308707 is currently active in the NPPES registry. Verify at CMS.
Radiologic Technologist · LUFKIN, TX
Registration Details
- NPI Number
- 1205308707
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 20, 2018 (7.6725849995274 yrs)
- Last Updated
- Dec 20, 2018
- Licenses
-
GMR00096682 (TX)GMR00096682 (TX)GMR00096682 (TX)
Practice Information
- Address
-
815 HANKS STLUFKIN, TX, 759044961Browse TX providers · Browse ZIP 75904
- Phone
- 9366352840
- Primary Specialty
-
Radiologic Technologist
247100000X
- Additional Specialty
- 2471C3402X
- Additional Specialty
- Radiologic Technologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.