Gary G Deckelboim MD PA

NPI #1447370739 in Longview, Texas

Provider Information

NPI Number
1447370739
Entity Type
Organization
Organization Name
Gary G Deckelboim MD PA
Primary Specialty
Eyewear Supplier
Enumeration Date
Mar 30, 2007
Last Updated
Feb 21, 2008

Practice Location

Address
330 E LOOP 281
State
Texas
ZIP Code
75605-7912
Phone
(903) 758-7385

Authorized Official

Name
GARY G DECKELBOIM, MD PA
Title
OWNER OPTHALMOLOGIST
Phone
(903) 758-3800

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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