Individual
DR. LESLIE ANN BUBELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1200 E ELDORADO PKWY, SUITE 100, LITTLE ELM, TX 75068-5582
(972) 292-0900
(972) 292-0908
Mailing address
1200 E ELDORADO PKWY, SUITE 100, LITTLE ELM, TX 75068-5582
(972) 292-0900
(972) 292-0908
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5926TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81007Q
BLUECROSS BLUESHIELD
TX
Enumeration date
09/22/2005
Last updated
02/23/2015
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