Individual
DIANA LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
23515 BRAZOS TOWN CROSSING, ROSENBERG, TX 77471
(346) 762-6076
Mailing address
23515 BRAZOS TOWN CROSSING, ROSENBERG, TX 77471-4540
(346) 762-6076
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10033
TX
Other
Enumeration date
07/30/2020
Last updated
01/18/2023
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