Provider Demographics
NPI:1568450427
Name:TEXCELL, JADE NGUYEN (OD)
Entity Type:Individual
Prefix:DR
First Name:JADE
Middle Name:NGUYEN
Last Name:TEXCELL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:JADE
Other - Middle Name:
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:55 N WOLFE AVE
Mailing Address - Street 2:
Mailing Address - City:EDWARDS AFB
Mailing Address - State:CA
Mailing Address - Zip Code:93524-2422
Mailing Address - Country:US
Mailing Address - Phone:661-277-5091
Mailing Address - Fax:
Practice Address - Street 1:55 N WOLFE AVE
Practice Address - Street 2:
Practice Address - City:EDWARDS AFB
Practice Address - State:CA
Practice Address - Zip Code:93524-2422
Practice Address - Country:US
Practice Address - Phone:661-277-5091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001275152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist