Individual provider · Type 1 NPI
Dax Eli Wagner
Radiologic Technologist · Lufkin, TX
NPI number
1205308707
Active
Practice location
815 Hanks St
Lufkin, TX 75904-4961
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Computed Tomography Radiologic Technologist | 2471C3401X | GMR00096682 (TX) |
| Radiography Radiologic Technologist | 2471C3402X | GMR00096682 (TX) |
| Radiologic Technologist Primary | 247100000X | GMR00096682 (TX) |
Radiologic Technologist: A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.
About NPI 1205308707
Dax Eli Wagner's National Provider Identifier is 1205308707, issued on Dec 20, 2018. The primary taxonomy on file is Radiologic Technologist (247100000X), and the practice location is in Lufkin, TX. The record was last updated on Dec 20, 2018.