Individual
DR. ASHLEY SUSAN CHENNANKARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
440 W LYNDON B JOHNSON FWY STE 300, IRVING, TX 75063-3841
(214) 574-9600
Mailing address
2401 S 31ST ST, TEMPLE, TX 76508-0002
(254) 724-7784
(254) 724-7791
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7549TG
TX
Other
Enumeration date
07/09/2010
Last updated
11/28/2017
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