Gary G. Deckelboim, M.d. P.a.

NPI #1356624183 in Dallas, Texas

Provider Information

NPI Number: 1356624183
Entity Type: Organization
Organization Name: Gary G. Deckelboim, M.d. P.a.
Primary Specialty: Ophthalmology
Enumeration Date: Sep 28, 2011
Last Updated: Sep 28, 2011

Practice Location

Address: 8210 WALNUT HILL LANE
Address 2: SUITE 100 LB-5
City: Dallas
State: Texas
ZIP Code: 75231-4418
Phone: (214) 369-8478

Authorized Official

Name: GARY G DECKELBOIM, M.D.
Title: PHYSICIAN
Phone: (214) 369-8478

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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