Individual
MATTHEW RALPH WILKENING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
560 MEYERLAND PLAZA MALL, HOUSTON, TX 77096-1615
(713) 442-3222
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7520TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283510001
—
TX
05
—
283510002
—
TX
05
—
283510003
—
TX
Enumeration date
08/09/2009
Last updated
06/23/2021
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