Deckelboim, Gary G

Deckelboim, Gary G is an sole proprietor health care provider with primary practice located at 8210 Walnut Hill Ln Suite 100 Lb-5, Dallas TX 75231-4405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Deckelboim, Gary G can be contacted via phone (214) 369-8478.

Contact Information

Primary practice address
8210 Walnut Hill Ln Suite 100 Lb-5 Dallas TX 75231-4405
Phone: (214) 369-8478
Fax: (214) 696-1594
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X J0940 Texas

Profile Details

NPI number 1912979790
LBN Legal business name Deckelboim, Gary G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2006
Last updated Oct 20th, 2011 - about 15 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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