Individual
DEANNA HIROKO MASUNAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5701 HIGHLAND BLVD, MIDLAND, TX 79707-5024
(432) 689-3533
Mailing address
5701 HIGHLAND BLVD, MIDLAND, TX 79707-5024
(432) 689-3533
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
11015T
CA
152W00000X
Optometrist
1326-460T
LA
152W00000X
Optometrist
3370
WA
152W00000X
Optometrist
Primary
6544T
TX
Other
Enumeration date
02/15/2007
Last updated
12/14/2007
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