Dax Eli Wagner is a Radiologic Technologist based in Lufkin, TX. Dax Eli Wagner practices in Lufkin, TX. The NPI Number for Dax Eli Wagner is 1205308707 and holds a License No. GMR00096682 (Texas).
The current practice location address for Dax Eli Wagner is 815 Hanks St, Lufkin, TX and can be reached out via phone at 936-635-2840.
Location: 815 Hanks St, Lufkin, TX, 75904-4961
Provider Profile Details
NPI Number
1205308707
Provider Name
Dax Eli Wagner
Credential
Provider Entity Type
Individual
Gender
Male
Address
815 Hanks St, Lufkin, TX, 75904-4961
Phone Number
936-635-2840
Fax Number
Provider Enumeration Date
12/20/2018
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
815 Hanks St
City
State
Zip
75904-4961
Phone Number
936-635-2840
Fax Number
Provider Business Mailing Address Details
Address
815 Hanks St
City
State
Zip
75904-4961
Phone Number
936-635-2840
Fax Number
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
-
Taxonomy
License No.
GMR00096682 (Texas)
Definition
An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment.
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Computed Tomography
Taxonomy
License No.
GMR00096682 (Texas)
Definition
Definition to come...
Provider's Taxonomy Details 3
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Radiography
Taxonomy
License No.
GMR00096682 (Texas)
Definition
Definition to come...
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