| NPI | 1407491541 |
|---|---|
| Professional Name | DWIGHT W. LANDOR |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP143998) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 2019045415) |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2019-12-26 |