Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 7439T | TX |
N | 176B00000X | Midwife |
NPI | 1134359003 |
---|---|
Provider Name | Dr. Shayla Sellars-Jaynes |
First Address | Houston, TX 77019-1949 |
Second Address | Humble, TX 77338-2209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2009 |
Last Update Date | 20/04/2021 |