Individual
DWAYNE ALAN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS, PA-C
Contact information
Practice address
AID STATION BLDG 87008, 1ST SQDN, 3D ACR, FT HOOD, TX 76544
(630) 991-0690
Mailing address
AID STATION BLDG 87008, 1ST SQDN, 3D ACR, FT HOOD, TX 76544
(630) 991-0690
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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