Jonathan Glenn Deshaw, O.D.

NPI #1407160815 in Garland, Texas

Provider Information

NPI Number: 1407160815
Entity Type: Individual
Name: Jonathan Glenn Deshaw, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 28, 2010
Last Updated: Jul 22, 2011

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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