Individual
JENNIFER N. BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1355 E LEAGUE CITY PKWY STE 200, LEAGUE CITY, TX 77573-7095
(713) 944-4182
(832) 932-3669
Mailing address
6734 WESTHEIMER LAKES NORTH DR STE 111, KATY, TX 77494-5713
(281) 347-0004
(281) 574-0030
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7455T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7455T
TEXAS OPTOMETRY LICENSE
TX
01
—
TXB142479
INDIVIDUAL PTAN
—
Enumeration date
08/12/2009
Last updated
08/23/2022
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