Individual
MATTHEW J WAYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
708 HILL COUNTRY DR, SUITE 300 B, KERRVILLE, TX 78028
(830) 896-1655
Mailing address
708 HILL COUNTRY DR, SUITE 300 B, KERRVILLE, TX 78028
(830) 896-1655
(830) 896-1655
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
J0801
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120558502
—
TX
Enumeration date
08/15/2006
Last updated
03/19/2013
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