Individual
JOHN DORAN DEAPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1106 S W S YOUNG DR, KILLEEN, TX 76543-4881
(254) 690-1000
(254) 690-2617
Mailing address
1106 S W S YOUNG DR, KILLEEN, TX 76543-4881
(254) 690-1000
(254) 690-2617
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
03461T
TX
Other
Enumeration date
07/26/2006
Last updated
04/15/2008
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