Organization
GATEWAY EYE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON SON (MANAGER)
(469) 951-0098
Entity
Organization
Contact information
Practice address
5502 BROADWAY BLVD, GARLAND, TX 75043-3639
(214) 887-3937
Mailing address
5502 BROADWAY BLVD, GARLAND, TX 75043-3639
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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