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Individual

DR. JERALD LEE TENNANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5601 N MACARTHUR BLVD, SUITE 200, IRVING, TX 75038-2606
(972) 580-1156
Mailing address
5601 N MACARTHUR BLVD, SUITE 200, IRVING, TX 75038-2606
(972) 580-1156

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
D1830
TX
208D00000X
General Practice Physician
Primary
D1830
TX

Other

Enumeration date
01/08/2007
Last updated
09/11/2025
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