Individual
MRS. DORETHA WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN BC
Contact information
Practice address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(713) 791-1414
Mailing address
10151 VALLEY CLUB DR, HOUSTON, TX 77078-3723
(218) 458-8225
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
465047
TX
Other
Enumeration date
08/03/2006
Last updated
05/20/2022
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