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Individual

JAYANNA D BYRD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
928 S BOLTON ST, JACKSONVILLE, TX 75766-2906
(903) 586-7900
(903) 586-4373
Mailing address
501 E KOLSTAD ST, PALESTINE, TX 75801-2352
(903) 731-4653
(903) 723-5550

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8390T
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
345170001
TX
Enumeration date
07/24/2014
Last updated
02/20/2024
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