Individual
JENNIFER THAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4301 W WILLIAM CANNON DR STE 210, AUSTIN, TX 78749-1473
(512) 328-0015
Mailing address
4301 W WILLIAM CANNON DR STE 210, AUSTIN, TX 78749-1473
(512) 328-0015
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9216T
TX
Other
Enumeration date
07/06/2017
Last updated
07/21/2022
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