Provider Demographics
NPI:1679005417
Name:WAWIRE, LEWIN MISIKO (RN)
Entity Type:Individual
Prefix:MR
First Name:LEWIN
Middle Name:MISIKO
Last Name:WAWIRE
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3103 CREEK ARBOR CIR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-7174
Mailing Address - Country:US
Mailing Address - Phone:832-289-9878
Mailing Address - Fax:
Practice Address - Street 1:3103 CREEK ARBOR CIR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-7174
Practice Address - Country:US
Practice Address - Phone:832-289-9878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-31
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX755991163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse