DR. Joe Edward Broadway III, OD

NPI #1205675790 in Grand Prairie, Texas

Provider Information

NPI Number: 1205675790
Entity Type: Individual
Name: DR. Joe Edward Broadway III, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: May 23, 2024
Last Updated: May 23, 2024

Practice Location

Address: 2355 N STATE HIGHWAY 360 APT 625
City: Grand Prairie
State: Texas
ZIP Code: 75050-8716
Phone: (972) 822-3148

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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