Provider Demographics
NPI:1780947481
Name:BYARGEON, DENNIS WAYNE (NP-C)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:WAYNE
Last Name:BYARGEON
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2423 CINCO PARK PL
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-2151
Mailing Address - Country:US
Mailing Address - Phone:832-437-1918
Mailing Address - Fax:
Practice Address - Street 1:2423 CINCO PARK PL
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-2151
Practice Address - Country:US
Practice Address - Phone:832-437-1918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-19
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX638976363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily