Organization
LEAGUE CITY TEXAS STATE OPTICAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS R FINGOLD OD (OWNER)
(281) 535-8876
Entity
Organization
Contact information
Practice address
2700 MARINA BAY DR STE A, LEAGUE CITY, TX 77573-2480
(281) 535-8876
Mailing address
2700 MARINA BAY DR STE A, LEAGUE CITY, TX 77573-2480
(281) 535-8876
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3270TG
TX
Other
Enumeration date
11/01/2006
Last updated
04/08/2022
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