Individual
BAILEY KATHLEEN TERHUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1422 N LOOP 336 W STE B, CONROE, TX 77304-3540
(936) 539-2020
Mailing address
6000 W RAYFORD RD APT 4118, SPRING, TX 77389-2213
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9527T
TX
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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