Individual
MR. DWAYNE JOSEPH WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
100 S MAGNOLIA DR, CLEVELAND, TX 77328-8385
(281) 432-2068
Mailing address
100 S MAGNOLIA DR, CLEVELAND, TX 77328-8385
(281) 432-2068
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
134946
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01778658
DRIVERS LICENSE
TX
01
—
134946
TEXAS BOARD OF NURSING LICENSURE
TX
Enumeration date
07/06/2018
Last updated
07/06/2018
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