Organization
GARY G DECKELBOIM MD PA
Active
Other names
Gary G Deckelboim MD
Organization subpart
No
Provider details
NPI number
Authorized official
GARY G DECKELBOIM MD PA (OWNER OPTHALMOLOGIST)
(903) 758-3800
Entity
Organization
Contact information
Practice address
330 E LOOP 281, LONGVIEW, TX 75605-7912
(903) 758-7385
(903) 758-3800
Mailing address
330 E LOOP 281, LONGVIEW, TX 75605-7912
(903) 758-7385
(903) 758-3800
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
J0940
TX
Other
Enumeration date
03/30/2007
Last updated
02/21/2008
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