Individual
DR. MATT TERWILLEGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2200 BRIARCREST DR STE 106, BRYAN, TX 77802-5001
(979) 774-5400
(979) 731-8483
Mailing address
2200 BRIARCREST DR STE 106, BRYAN, TX 77802-5001
(979) 774-5400
(979) 731-8483
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5627T
TX
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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