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Dax Wagner
NPI 1205308707 · on the registry since 2018
Practice
- Address
- 815 Hanks St
Lufkin, TX 75904 - Phone
- (936) 635-2840
Registry record
- Primary taxonomy
- 247100000X
247100000X
- Also registered as
- 2471C3401X
2471C3402X - Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-12-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas