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Individual
HEATHER DEANN WYATT
Active
Individual
HEATHER DEANN WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1092649
TX
363L00000X
Nurse Practitioner
F08220280
TX
363LF0000X
Family Nurse Practitioner
Primary
1092649
TX
Other
Enumeration date
10/10/2022
Last updated
05/11/2026
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