Deshaw, Glenn Gordon
Deshaw, Glenn Gordon is an sole proprietor health care provider with primary practice located at 2636 W Walnut St Ste 200, Garland TX 75042-6441. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Deshaw, Glenn Gordon can be contacted via phone (972) 485-0700.Contact Information
Primary practice address
2636 W Walnut St Ste 200
Garland TX 75042-6441
Phone: (972) 485-0700
Fax: (972) 485-0702
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2204TG | Texas |
Profile Details
| NPI number | 1346284643 |
|---|---|
| LBN Legal business name | Deshaw, Glenn Gordon |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Jul 21st, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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