NPI | 1447370739 |
---|---|
Other Name | GARY G DECKELBOIM MD |
Entity Type | Organization |
Authorized Contact | GARY G DECKELBOIM Owner Opthalmologist 903-758-3800 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TX J0940) |
Enumeration Date | 2007-03-30 |
Last Update Date | 2008-02-21 |