Individual
CHARLES WELTON WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5700 DALLAS PKWY, FRISCO, TX 75034-9580
(469) 515-7100
(469) 515-7101
Mailing address
2222 WELBORN ST, DALLAS, TX 75219-3924
(214) 559-5000
(214) 443-7309
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
655462
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP112728
TX
Other
Enumeration date
08/19/2008
Last updated
12/16/2024
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