Andreane Boudreault Fagala, O.D.

NPI #1124258959 in Richardson, Texas

Provider Information

NPI Number: 1124258959
Entity Type: Individual
Name: Andreane Boudreault Fagala, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 14, 2009
Last Updated: Sep 5, 2014

Practice Location

Address: 1301 W CAMPBELL RD
City: Richardson
State: Texas
ZIP Code: 75080-2815
Phone: (972) 669-9229

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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