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Individual
DR. WAYNE K. NELSON
Active
Individual
DR. WAYNE K. NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD161330
OR
208D00000X
General Practice Physician
N1798
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500659802
—
OR
01
—
DPS F0163850
TEXAS DPS NUMBER
TX
01
—
MD161330
OREGON MEDICAL LISCENSE
OR
01
—
N1798
TEXAS MEDICAL LISCENSE
TX
01
—
P01229162
MEDICARE RAILROAD
OR
Enumeration date
06/13/2007
Last updated
09/17/2020
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