Individual
JANE ELIZABETH DE GRASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
300 MERCEDES ST, BENBROOK, TX 76126-2593
(817) 249-4078
(817) 249-4094
Mailing address
300 MERCEDES ST, BENBROOK, TX 76126-2593
(817) 249-4078
(817) 249-4094
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5514TG
TX
Other
Enumeration date
11/14/2005
Last updated
01/08/2014
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