Individual
MR. MATTHEW EDWARD PANTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
414 APRIL LN, CHINA SPRING, TX 76633-2923
(254) 752-4397
(254) 848-9019
Mailing address
414 APRIL LANE, CHINA SPRING, TX 76633-0523
(254) 752-4397
(254) 848-9019
Taxonomy
Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
Primary
—
—
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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