Organization
WAYNE BELAIRE ENTERPRISES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE BELAIRE RNFA (REGISTERED NURSE)
(409) 626-1866
Entity
Organization
Contact information
Practice address
3167 MARIANNWOOD DR, PORT NECHES, TX 77651-6015
(409) 626-1866
Mailing address
PO BOX 614, PORT NECHES, TX 77651-0614
Taxonomy
Speciality
Code
Description
License number
State
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
605997
TX
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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