Individual
DR. JENNIFER TSOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4945 WILLIAMS DR, GEORGETOWN, TX 78628-2008
(512) 819-0500
Mailing address
PO BOX 847408, DALLAS, TX 75284-7408
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6472TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1670366-01
CSHCN
TX
05
—
1670366-01
—
TX
01
—
81106Q
BLUE SHIELD
TX
01
—
P00148110
RR/MEDICARE
TX
Enumeration date
04/03/2006
Last updated
07/11/2007
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