Glenn G Deshaw (NPI# 1346284643, PAC ID# 7315940756) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1346284643 |
| PAC ID by PECOS | 7315940756 |
| Professional Enrollment ID | I20060824000380 |
| Full Name | Glenn G Deshaw |
| Organization Legal Name | GLENN G DESHAW, OD PA |
| Address |
2636 W Walnut St Garland TX 75042-6441 |
| Phone Number | 9724850700 |
| Gender | M |
| Credential | OD |
| Medical School | UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY |
| Graduation Year | 1973 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 9032251574 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2636 W Walnut St, Garland, TX 75042-6441 | 9724850700 | GLENN G DESHAW, OD PA |
| 2636 W Walnut St, Suite 200, Garland, TX 75042-6441 | 9724850700 | GLENN G DESHAW, OD PA |
| Organization Legal Name | GLENN G DESHAW, OD PA |
| Physicians | 1 |
| Street Address |
2636 W WALNUT ST |
| City | GARLAND |
| State | TX |
| Zip | 75042-6441 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan G Deshaw | Optometry | 2636 W Walnut St, 200 Walnut Vision, Garland, TX 75042-6441 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bernard Adami | Obstetrics/gynecology | 2225 Peggy Lane, Garland, TX 75042 | |
| Ranan Ayal Mendelsberg | Vascular Surgery | Vascular Care of Texas Pllc | 700 Walter Reed Blvd, Suite 203, Garland, TX 75042-3701 |
| Biren H Parikh | Cardiovascular Disease (cardiology) | 700 Walter Reed Blvd, Suite 301a, Garland, TX 75042-3701 | |
| Shonda Banegas | Vascular Surgery | Vascular Care of Texas Pllc | 700 Walter Reed Blvd, Suite 203, Garland, TX 75042-3701 |
| Thai Nguyen | Nephrology | Dallas Nephrology Associates | 700 Walter Reed Blvd, Suite 310, Garland, TX 75042-3706 |
| Gabriel Schlebach | Physician Assistant | Physician Assistant Services of Texas L.l.p | 700 Walter Reed Blvd, Suite 203, Garland, TX 75042-3711 |
| Daniel J Dill | Physician Assistant | Physician Assistant Services of Texas L.l.p | 700 Walter Reed Blvd, Suite 203, Garland, TX 75042-3711 |
| Ardavan Rafizadeh | Physician Assistant | Physician Assistant Services of Texas L.l.p | 700 Walter Reed Blvd, Suite 203, Garland, TX 75042-3711 |
| Dania Bach | Physician Assistant | Physician Assistant Services of Texas L.l.p | 700 Walter Reed Blvd, Suite 203, Garland, TX 75042-3711 |
| Lonnie J Ginn | Physician Assistant | Physician Assistant Services of Texas L.l.p | 700 Walter Reed Blvd, Suite 203, Garland, TX 75042-3711 |
| Find all physicians in zip 75042 | |||
| City | GARLAND |
| Zip Code | 75042 |
| Specialty | OPTOMETRY |
| City + Specialty | GARLAND + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.