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Individual

DR. KENDRA L. DEBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
3963 BOAT CLUB RD, FORT WORTH, TX 76135-3202
(817) 237-7153
(817) 237-7123
Mailing address
5832 BOAT CLUB RD, FORT WORTH, TX 76179-7773
(817) 237-7153
(817) 237-7123

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7458T
TX
152WL0500X
Low Vision Rehabilitation Optometrist
7458T
TX

Other

Enumeration date
08/06/2009
Last updated
01/24/2019
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