Individual
COURTNEY BRYCE THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 MIMOSA ST, BURKBURNETT, TX 76354-2350
(940) 224-3610
Mailing address
602 MIMOSA ST, BURKBURNETT, TX 76354-2350
(940) 224-3610
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1185946
TX
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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