IndividualActive
Nathan Matlack
NPI 1962022624 · Registered Nurse · Lorena, TX
Provider details
- NPI number
- 1962022624
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 697809 (TX)
Specialties & taxonomies
Nursing Service Providers
Practice location
308 Camino Del Rancho
Lorena, TX 76655-3555
Phone: (254) 744-6947
Approximate (ZIP-level) locationGet directions
Mailing address
308 Camino Del Rancho
Lorena, TX 76655-3555
Registry dates
- Enumerated
- 2020-04-23
- Last updated
- 2020-04-23
- Certified
- 2020-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.