Individual
GUY WAYNE NELSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
711 W BAY AREA BLVD STE 602, WEBSTER, TX 77598-4042
(281) 332-2626
(281) 332-7272
Mailing address
PO BOX 8074, PASADENA, TX 77508-8074
(281) 332-2626
(281) 332-7272
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP128206
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
349317307
—
TX
Enumeration date
07/13/2015
Last updated
08/13/2020
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