IndividualActive
Dax Wagner
NPI 1205308707 · Radiologic Technologist · Lufkin, TX
Provider details
- NPI number
- 1205308707
- Entity type
- Individual
- Primary specialty
- Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- GMR00096682 (TX)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Technologists, Technicians & Other Technical Service Providers
Technologists, Technicians & Other Technical Service Providers
Practice location
815 Hanks St
Lufkin, TX 75904-4961
Phone: (936) 635-2840
Approximate (ZIP-level) locationGet directions
Mailing address
815 Hanks St
Lufkin, TX 75904-4961
Registry dates
- Enumerated
- 2018-12-20
- Last updated
- 2018-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.