Glenn G Deshaw Od PA

NPI #1265762363 in Garland, Texas

Provider Information

NPI Number: 1265762363
Entity Type: Organization
Organization Name: Glenn G Deshaw Od PA
Primary Specialty: Optometrist
Enumeration Date: Jan 12, 2010
Last Updated: Jun 4, 2019

Practice Location

Address: 2636 W WALNUT ST
Address 2: STE. 200
City: Garland
State: Texas
ZIP Code: 75042-6441
Phone: (972) 485-0700

Authorized Official

Name: DR. JONATHAN DESHAW, OD
Title: OWNER
Phone: (972) 485-0700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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