Provider Demographics
NPI:1093339434
Name:ACCESS2HEALTH PLLC
Entity Type:Organization
Organization Name:ACCESS2HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:DWIGHT
Authorized Official - Middle Name:W
Authorized Official - Last Name:LANDOR
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:409-422-3714
Mailing Address - Street 1:3910 N DOWLEN RD UNIT 12341
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77726-6738
Mailing Address - Country:US
Mailing Address - Phone:888-887-0401
Mailing Address - Fax:
Practice Address - Street 1:1050 S 11TH ST
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-4739
Practice Address - Country:US
Practice Address - Phone:888-887-0401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-02
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty