Individual
JUSTIN ROBERT DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6704 STERLING RIDGE DR, D, SPRING, TX 77382-2799
(281) 465-8300
Mailing address
1340 W GRAY ST, 217, HOUSTON, TX 77019-4059
(281) 682-5209
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8011
TX
Other
Enumeration date
09/14/2012
Last updated
01/24/2014
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