Individual
MR. DWIGHT W. LANDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
815 BRANDYWINE ST, BEAUMONT, TX 77706-5425
(409) 422-3714
Mailing address
815 BRANDYWINE ST, BEAUMONT, TX 77706-5425
(409) 422-3714
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP143998
TX
363LF0000X
Family Nurse Practitioner
2019045415
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP143998
TEXAS BOARD OF NURING
TX
Enumeration date
11/13/2019
Last updated
12/26/2019
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