Individual
DR. LAURA L. HOLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4241 SOUTHWEST BLVD STE 108, SAN ANGELO, TX 76904-5687
(325) 949-6697
(325) 947-5077
Mailing address
4241 SOUTHWEST BLVD STE 108, SAN ANGELO, TX 76904-5687
(325) 949-6697
(325) 947-5077
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5124TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041801402
—
TX
Enumeration date
08/03/2006
Last updated
09/16/2016
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