Individual
GREGORY WADE HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1900 PRESTON RD, SUITE 265, PLANO, TX 75093-5175
(972) 519-0006
(972) 519-0669
Mailing address
7001 W PARKER RD, #918, PLANO, TX 75093-8614
(972) 306-7705
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
04019T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20119299
DPS
—
Enumeration date
06/14/2006
Last updated
03/07/2023
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