Wagner, Dax Eli

Wagner, Dax Eli is an individual health care provider with primary practice located at 815 Hanks St , Lufkin TX 75904-4961. He recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Computed Tomography, Technologists, Technicians & Other Technical Service Providers / Radiography, Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist. Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist is his primary health care specialty. Wagner, Dax Eli can be contacted via phone (936) 635-2840.

Contact Information

Primary practice address
815 Hanks St Lufkin TX 75904-4961
Phone: (936) 635-2840
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Computed Tomography 2471C3401X GMR00096682 Texas
Technologists, Technicians & Other Technical Service Providers / Radiography 2471C3402X GMR00096682 Texas
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X GMR00096682 Texas

Profile Details

NPI number 1205308707
LBN Legal business name Wagner, Dax Eli
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2018
Last updated Dec 20th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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