Individual
LESLIE R DULLNIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
825 4TH ST, BLANCO, TX 78606-4913
(830) 833-5768
(830) 833-3268
Mailing address
825 4TH ST, BLANCO, TX 78606-4913
(830) 833-5768
(830) 833-3268
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02285T
TX
Other
Enumeration date
04/05/2006
Last updated
05/23/2023
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