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Crystal Matherne
NPI 1588978472 · on the registry since 2010
Practice
- Address
- 2110 E Southlake Blvd
Southlake, TX 76092 - Phone
- (817) 421-7487
- Organisation at this address
- Kroger Texas L P
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-05-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas