Individual
EMMANUEL GBOLABO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
505 N GUN BARREL LN, GUN BARREL CITY, TX 75156-3732
(903) 887-7623
Mailing address
PO BOX 200438, DALLAS, TX 75320-0438
(877) 591-3106
(877) 591-3106
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11134
TX
Other
Enumeration date
06/04/2024
Last updated
06/16/2026
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