Gregory Deatherage
NPI 1457544181 · on the registry since 2007 · sole proprietor
Practice
- Address
- 2916 Garnett Ave
Wichita Falls, TX 76308 - Phone
- (940) 723-7241
- Organisation at this address
- T D Ventures Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Optician
156FX1800X
- Sex
- Male
- Record last updated
- 2008-07-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas