Individual
GLYN M PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2601 PRESTON RD, SUITE 2064, FRISCO, TX 75034-9468
(972) 377-0700
(972) 377-0719
Mailing address
4405 GIOVANNI DR, PLANO, TX 75024-3879
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
05311TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040420403
—
TX
Enumeration date
06/19/2006
Last updated
01/28/2009
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