Mr. Gregory Eric Deatherage
Mr. Gregory Eric Deatherage is an Optician in Wichita Falls, Texas. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
2916 Garnett AveWichita Falls, TX 76308-1002
Phone: (940) 723-7241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X |
|---|
Record details
| NPI number | 1457544181 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 27, 2007 |
| Last updated in NPPES | July 17, 2008 |
| Mailing address | 2916 Garnett Ave, Wichita Falls, TX 76308-1002 |
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