Autry, Jill
Autry, Jill is an individual health care provider with primary practice located at 6565 West Loop S Suite 650, Bellaire TX 77401-3500. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Autry, Jill can be contacted via phone (713) 797-1010.Contact Information
Primary practice address
6565 West Loop S Suite 650
Bellaire TX 77401-3500
Phone: (713) 797-1010
Fax: (713) 735-7727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5966TG | Texas |
Profile Details
| NPI number | 1922001270 |
|---|---|
| LBN Legal business name | Autry, Jill |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Mar 27th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922001270 | NPPES |
| Texas | MEDICAID | 151618902 | |
| Texas | MEDICAID | 151618901 |
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