Individual
DR. JORDANA CHETTIPARAMPIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
17520 SOUTHWEST FWY, SUGAR LAND, TX 77479
(281) 607-4545
(218) 201-6418
Mailing address
17520 SOUTHWEST FWY, SUGAR LAND, TX 77479
(281) 607-4545
(218) 201-6418
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7591T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7591T
OD LICENSE
TX
Enumeration date
07/14/2010
Last updated
07/11/2013
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