Individual
MATTHEW WILDER THAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA,CNOR
Contact information
Practice address
2126 W NORMAN CIR, ORANGE, TX 77630-9353
(214) 227-2457
(214) 764-0880
Mailing address
3905 MELCER DR STE 601, ROWLETT, TX 75088-4033
(214) 227-2457
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
607118
TX
Other
Enumeration date
10/13/2009
Last updated
05/03/2023
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