Organization
GLENN G DESHAW OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN DESHAW OD (OWNER)
(972) 485-0700
Entity
Organization
Contact information
Practice address
2636 W WALNUT ST, STE. 200, GARLAND, TX 75042-6441
(972) 485-0700
(972) 485-0702
Mailing address
2636 W WALNUT ST, STE. 200, GARLAND, TX 75042-6441
(972) 485-0700
(972) 485-0702
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/12/2010
Last updated
06/04/2019
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