Individual
LEIGH ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2300 W 7TH ST, FORT WORTH, TX 76107-2308
(174) 207-3778
Mailing address
2300 W 7TH ST, FORT WORTH, TX 76107-2308
(817) 420-7377
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9467T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9467T
STATE LICENSE
TX
Enumeration date
11/06/2018
Last updated
01/23/2020
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