Individual
DOUGLAS T HOLLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4450 SUNSET DRIVE, SAN ANGELO, TX 76901
(325) 658-1511
Mailing address
4241 SOUTHWEST BLVD, STE 108, SAN ANGELO, TX 76904-5687
(325) 658-1511
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
05129TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116333905
—
TX
Enumeration date
05/08/2006
Last updated
04/24/2017
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