Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dax Eli Wagner

Individual provider Computed Tomography Radiologic Technologist · NPI 1205308707

Dax Eli Wagner is a Computed Tomography Radiologic Technologist in Lufkin, Texas. Licensed in Texas. Registered with an NPI since 2018.

Licensed in
TX
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

815 Hanks St
Lufkin, TX 75904-4961
Phone: (936) 635-2840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiologic Technologist (primary) Taxonomy 247100000X · Licence GMR00096682 (TX)
Computed Tomography Radiologic Technologist Taxonomy 2471C3401X · Licence GMR00096682 (TX)
Radiography Radiologic Technologist Taxonomy 2471C3402X · Licence GMR00096682 (TX)

Record details

NPI number1205308707
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 20, 2018
Last updated in NPPESDecember 20, 2018