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Individual
DR. JERALD LEE TENNANT
Active
Individual
DR. JERALD LEE TENNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
D1830
TX
208D00000X
General Practice Physician
Primary
D1830
TX
Other
Enumeration date
01/08/2007
Last updated
09/11/2025
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