Organization
KENT CHARLES JENSEN OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT CHARLES JENSEN OD (OWNER)
(210) 764-7575
Entity
Organization
Contact information
Practice address
15316 HUEBNER RD, SUITE 101, SAN ANTONIO, TX 78248-0987
(210) 764-7575
(210) 764-7576
Mailing address
15316 HUEBNER RD, SUITE 101, SAN ANTONIO, TX 78248-0987
(210) 764-7575
(210) 764-7576
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3951TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841360633
INDIVIDUAL NPI
TX
Enumeration date
05/09/2007
Last updated
08/22/2020
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