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Individual

JACQUELINE SUE BRENDING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O. D.

Contact information

Practice address
17074 HIGHWAY 3, WEBSTER, TX 77598-4129
(281) 338-8474
(281) 338-4795
Mailing address
17074 HIGHWAY 3, WEBSTER, TX 77598-4129
(281) 338-8474
(281) 338-4795

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4230TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
061 1004643
EYEMED
TX
01
15648
SPECTERA
TX
01
35011
DAVIS VISION
TX
01
760438604-00
SUPERIOR VISION
TX
Enumeration date
12/12/2006
Last updated
07/08/2007
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