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Individual

WAYNE D WAYT

Active
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Individual

WAYNE D WAYT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
PA04132
TX
363A00000X
Physician Assistant
Primary
PA04132
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1J7442
MEDICARE
TX
01
—
1J7443
MEDICARE
TX
05
—
290254601
—
TX
05
—
290254602
—
TX
05
—
290254603
—
TX
05
—
290254618
—
TX
01
—
P02601593
MCRR
TX
01
—
PA04132
PHYSICIAN ASSISTANTS
—
01
—
Q00010982
MCRR
TX
Enumeration date
07/20/2006
Last updated
08/26/2026
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