Individual
DR. LARRY W. DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2311 S JEFFERSON AVE, SUITE 20/20, MOUNT PLEASANT, TX 75455-6011
(903) 577-8946
(903) 577-8951
Mailing address
2311 S JEFFERSON AVE, SUITE 20/20, MOUNT PLEASANT, TX 75455-6011
(903) 577-8946
(903) 577-8951
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4731TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019181901
—
TX
Enumeration date
05/23/2007
Last updated
02/16/2010
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