Individual
JENNIFER TASCA KELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4401 MARTIN LUTHER KING BLVD, HOUSTON, TX 77204-2020
(713) 743-2020
(713) 743-0963
Mailing address
4401 MARTIN LUTHER KING BLVD, HOUSTON, TX 77204-2020
(713) 743-2020
(713) 743-0963
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2077
CO
152W00000X
Optometrist
7676T
TX
152W00000X
Optometrist
Primary
7676TG
TX
152WL0500X
Low Vision Rehabilitation Optometrist
2077
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407857444
—
TX
05
—
23371846
—
CO
05
—
286359901
—
TX
Enumeration date
08/01/2005
Last updated
10/03/2025
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