Individual
DR. JENNIFER CATUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2400 AIRPORT FREEWAY,, SUITE 140, BEDFORD, TX 76022-6019
(817) 284-2964
(817) 283-2760
Mailing address
2400 AIRPORT FWY, SUITE 140, BEDFORD, TX 76022-6018
(817) 284-2964
(817) 283-2760
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7057TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639334246
INDIVIDUAL NPI
TX
01
—
1801226238
GROUP NPI
TX
01
—
7057TG
LICENSE NUMBER
TX
01
—
DU9193
RAILROAD MEDICARE GROUP PTAN
TX
01
—
P01347885
RAILROAD MEDICARE PROVIDER PTAN
TX
Enumeration date
07/23/2008
Last updated
01/12/2016
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