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Individual
CHARLES WELTON WYATT
Active
Individual
CHARLES WELTON WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
655462
TX
363LP0200X
Pediatric Nurse Practitioner
AP112728
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
AP112728
TX
Other
Enumeration date
08/19/2008
Last updated
09/01/2026
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