Individual
DYLAN SUPAK MATZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 SCOTT AND WHITE DR, COLLEGE STATION, TX 77845-6440
(979) 207-4000
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
V9938
TX
Other
Enumeration date
04/09/2020
Last updated
10/09/2025
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