Provider Demographics
NPI:1902000318
Name:HOLUB, LEIGH ANN JOINES (OD)
Entity Type:Individual
Prefix:DR
First Name:LEIGH ANN
Middle Name:JOINES
Last Name:HOLUB
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 E. COURT STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SEGUIN
Mailing Address - State:TX
Mailing Address - Zip Code:78155
Mailing Address - Country:US
Mailing Address - Phone:830-372-0550
Mailing Address - Fax:830-372-4372
Practice Address - Street 1:515 E COURT ST
Practice Address - Street 2:SUITE 200
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78155-5750
Practice Address - Country:US
Practice Address - Phone:830-372-0550
Practice Address - Fax:830-372-4372
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6746TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist