Individual
MR. DWAYNE MITCHUM NORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1720 CAROL STREAM DR, RICHARDSON, TX 75081-2100
(214) 205-8309
Mailing address
1720 CAROL STREAM DR, RICHARDSON, TX 75081-2100
(214) 205-8309
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
164295
TX
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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