Organization
DR. DE GRASSE & ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANE DE GRASSE O.D. (OWNER)
(817) 346-2186
Entity
Organization
Contact information
Practice address
105 SPROLES DR, BENBROOK, TX 76126-3213
(817) 249-4078
(817) 249-4094
Mailing address
105 SPROLES DR, BENBROOK, TX 76126-3213
(817) 249-4078
(817) 249-4094
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TX5514
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007FF
BCBS GROUP #
TX
Enumeration date
05/03/2007
Last updated
11/01/2012
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