person
Mr. Gregory Eric Deatherage
Optician in Wichita Falls, Texas
NPI 1457544181

Gregory Eric Deatherage is a Optician based in Wichita Falls, TX and is specialized in Optician. Gregory Eric Deatherage practices in Wichita Falls, TX. The NPI Number for Gregory Eric Deatherage is 1457544181 and holds a License No. (Texas).

The current practice location address for Gregory Eric Deatherage is 2916 Garnett Ave, Wichita Falls, TX and can be reached out via phone at 940-723-7241. You can also correspond with Gregory Eric Deatherage through the mailing address at 2916 GARNETT AVE, WICHITA FALLS, TX - 76308-1002 (mailing address contact number: 940-723-7241).

Location: 2916 Garnett Ave, Wichita Falls, TX, 76308-1002
person
Provider Profile Details
NPI Number
1457544181
Provider Name
Gregory Eric Deatherage
Credential
Provider Entity Type
Individual
Gender
Male
Address
2916 Garnett Ave, Wichita Falls, TX, 76308-1002
Phone Number
940-723-7241
Fax Number
Provider Enumeration Date
08/27/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2916 Garnett Ave
City
State
Zip
76308-1002
Phone Number
940-723-7241
Fax Number
person
Provider Business Mailing Address Details
Address
2916 Garnett Ave
City
State
Zip
76308-1002
Phone Number
940-723-7241
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
()
Definition
Definition to come...
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