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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GLENN GORDON DESHAW, O.D.

Active Sole Proprietor

Optometrist · GARLAND, TX

Registration Details

NPI Number
1346284643
Provider Type
Individual
Gender
Male
NPI Issued
Jun 16, 2006 (19.848869988337 yrs)
Last Updated
Jul 21, 2011
License
2204TG (TX)
Sole Proprietor
Yes

Practice Information

Address
2636 W WALNUT ST
STE 200
GARLAND, TX, 750426441
Browse TX providers · Browse ZIP 75042
Phone
9724850700
Fax
9724850702
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in GARLAND, TX

Name Credential NPI
DR. MARK AARON RUIZ O.D. 1053303339
MRS. ASHLEY IRENE HUFF OD 1366436800
DR. REYNA A HERNANDEZ O.D. 1063407005
MR. ROBERT EMMETT DAY JR. OD 1306822366
MRS. SAMANTHA N NAIDOO OD 1649235862
DR. KIRTESH PATEL OD 1902836547
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.