| Organization Name: | WAYNE BELAIRE ENTERPRISES PLLC |
| NPI Number: | 1558640599 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WAYNE BELAIRE (REGISTERED NURSE) |
| Mailing Address: | 3167 Mariannwood Dr Port Neches |
| State: | TX US |
| Postal Code: | 776516015 |
| Phone Number: | 4096261866 |
| Fax Number: | |
| NPI Enumeration Date: | 08/09/2011 |
| NPI Last Update Date: | 08/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SM0705X |
| License Number: | 605997 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Medical-Surgical |
| Taxonomy Definition: | |