Individual
BRIDGET JOY LEESANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
22906 US HIGHWAY 281 N, SAN ANTONIO, TX 78258-7632
(210) 495-7483
(210) 497-1206
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5136TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019416901
—
TX
Enumeration date
01/18/2006
Last updated
10/20/2021
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