Individual
DR. JILL AUTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6565 WEST LOOP S, SUITE 650, BELLAIRE, TX 77401-3500
(713) 797-1010
(713) 735-7727
Mailing address
6565 WEST LOOP S, SUITE 650, BELLAIRE, TX 77401-3500
(713) 797-1010
(713) 357-7276
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5966TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151618901
—
TX
05
—
151618902
—
TX
Enumeration date
05/31/2005
Last updated
03/27/2015
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