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Organization

RDLETWO

Active
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Organization

RDLETWO

Active
Other names
SUGAR LAND T.S.O.
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT D. LE O.D. (O.D.)
(281) 277-3100
Entity
Organization

Contact information

Practice address
13879 SOUTHWEST FWY, SUGAR LAND, TX 77478-3533
(281) 277-3100
(281) 277-3115
Mailing address
13879 SOUTHWEST FWY, SUGAR LAND, TX 77478-3533
(281) 277-3100
(281) 277-3115

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
04995TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04995TG
OPTOMETRY LICENSE
TX
Enumeration date
09/11/2007
Last updated
06/21/2018
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