Individual
DR. GHASSEM KHAN ATASHIRANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD PHD
Contact information
Practice address
2130 S BUCKNER BLVD, DALLAS, TX 75227-8601
(214) 381-1700
(214) 381-1497
Mailing address
623 COURAGEOUS DRIVE, ROCKWELL, TX 75032-5769
(972) 772-1800
(972) 772-1800
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
03756
TX
152WC0802X
Corneal and Contact Management Optometrist
03756
TX
152WX0102X
Occupational Vision Optometrist
03756
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
526446
OE NUMBER OPTOMETIC EDUCA
TX
01
—
910075
EYE MED
TX
05
—
GOOOE78S6
—
TX
Enumeration date
04/16/2007
Last updated
12/09/2019
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