Individual
JENNIFER LYNN DEAKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3963 BOAT CLUB RD, FORT WORTH, TX 76135-3202
(817) 237-7153
(817) 237-7123
Mailing address
2816 VINE ST, #359, DALLAS, TX 75204-4035
(832) 671-9158
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7594T
TX
Other
Enumeration date
08/02/2010
Last updated
03/29/2012
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