Individual
MR. BRETT WAYNE THETFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
13965 S FM 4, SANTO, TX 76472-3436
(940) 769-2303
(940) 769-2306
Mailing address
PO BOX 65, SANTO, TX 76472-0065
(940) 769-2303
(940) 769-2306
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP129476
TX
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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