Individual
DR. DOUGLAS RICHARD ELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
9009 GATEWAY BLVD S, EL PASO, TX 79904-1215
(915) 751-7760
(915) 751-2376
Mailing address
9009 GATEWAY BLVD S, EL PASO, TX 79904-1215
(915) 751-7760
(915) 751-2376
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3778TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00E4400
—
TX
Enumeration date
06/11/2006
Last updated
12/03/2007
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