MR. Gregory Eric Deatherage
NPI #1457544181 in Wichita Falls, Texas
Provider Information
- NPI Number
- 1457544181
- Entity Type
- Individual
- Name
- MR. Gregory Eric Deatherage
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Aug 27, 2007
- Last Updated
- Jul 17, 2008
Practice Location
- Address
- 2916 GARNETT AVE
- City
- Wichita Falls
- State
- Texas
- ZIP Code
- 76308-1002
- Phone
- (940) 723-7241
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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