Organization
GARY G. DECKELBOIM, M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY G DECKELBOIM M.D. (PHYSICIAN)
(214) 369-8478
Entity
Organization
Contact information
Practice address
8210 WALNUT HILL LANE, SUITE 100 LB-5, DALLAS, TX 75231-4418
(214) 369-8478
(214) 696-1594
Mailing address
8210 WALNUT HILL LANE, SUITE 100 LB-5, DALLAS, TX 75231-4418
(214) 369-8478
(214) 696-1594
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
J0940
TX
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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