DAX ELI WAGNER
NPI 1205308707
Radiologic Technologist in Lufkin, TX

Q: What is Dax Wagner's NPI number?

The NPI number for Dax Wagner is 1205308707. It was assigned to this individual provider in the NPPES registry on December 20, 2018.

Q: What is Dax Wagner's specialty?

The primary specialty registered for this NPI is Radiologic Technologist with taxonomy code 247100000X.

Q: When was this NPI record last updated?

The NPPES record for Dax Wagner was last updated on December 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 20, 2018

815 HANKS ST, LUFKIN, TX 75904(936) 635-2840 Get Directions Write a Review

NPPES record last updated: December 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dax Eli Wagner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAX ELI WAGNER (NPI 1205308707) is an individual radiologic technologist in Lufkin, Texas, licensed in Texas (GMR00096682) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1205308707

Entity TypeIndividualMale

Primary Taxonomy247100000X

Provider Legal NameDAX ELI WAGNER

Location Address815 HANKS STLufkin, TX 75904-4961

Mailing Address815 Hanks StLufkin, TX 75904-4961 · (936) 635-2840

Phone(936) 635-2840

Sole ProprietorNo

Enumeration DateDecember 20, 2018

✔ NPI 1205308707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiologic TechnologistTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code247100000X

License✔ Licensed in TX · GMR00096682

Definition

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.

Also ListedRadiologic Technologist · Computed TomographyTaxonomy 2471C3401X · License GMR00096682 (TX)

Also ListedRadiologic Technologist · RadiographyTaxonomy 2471C3402X · License GMR00096682 (TX)

815 HANKS ST, Lufkin, TX 75904

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dax Wagner's NPI number?

The NPI number for Dax Wagner is 1205308707. It was assigned to this individual provider in the NPPES registry on December 20, 2018.

Where is Dax Wagner located?

Dax Wagner practices at 815 Hanks St, Lufkin, TX 75904. The listed phone number is (936) 635-2840.

What is Dax Wagner's specialty?

The primary specialty registered for this NPI is Radiologic Technologist with taxonomy code 247100000X.

When was this NPI record last updated?

The NPPES record for Dax Wagner was last updated on December 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.