Provider Demographics
NPI:1033295845
Name:STRONG, JANE AP (OD)
Entity type:Individual
Prefix:DR
First Name:JANE
Middle Name:AP
Last Name:STRONG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:17445 SPRING CYPRESS RD
Mailing Address - Street 2:STE G.
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-2684
Mailing Address - Country:US
Mailing Address - Phone:281-373-3063
Mailing Address - Fax:281-373-3089
Practice Address - Street 1:17445 SPRING CYPRESS RD
Practice Address - Street 2:STE G.
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-2684
Practice Address - Country:US
Practice Address - Phone:281-373-3063
Practice Address - Fax:281-373-3089
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5885T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80873QOtherBCBS
TX450517417OtherTAX ID
TX80873QOtherBCBS