Individual
LESLIE KLIETHERMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
8861 DAVIS BLVD STE 102, KELLER, TX 76248-0326
(817) 562-2020
Mailing address
705 NORTHERN TRCE, KELLER, TX 76248-8729
(254) 423-0536
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
05575T
TX
Other
Enumeration date
10/04/2006
Last updated
08/04/2025
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