Individual
GARY G DECKELBOIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8210 WALNUT HILL LN, SUITE 100 LB-5, DALLAS, TX 75231-4405
(214) 369-8478
(214) 696-1594
Mailing address
8210 WALNUT HILL LN, SUITE 100 LB-5, DALLAS, TX 75231-4405
(214) 369-8478
(214) 696-1594
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
J0940
TX
Other
Enumeration date
02/06/2006
Last updated
10/20/2011
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