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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.

Location: 2916 Garnett Ave, Wichita Falls, TX, 76308-1002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Wichita Falls
State
Texas
Zip
76308-1002
Phone Number
940-723-7241
Fax Number
person
Provider Business Mailing Address Details
Address
2916 Garnett Ave
City
Wichita Falls
State
Texas
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
156FX1800X
License No.
()
Definition
Definition to come...
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