Provider Demographics
NPI:1578710786
Name:MURRELL, JESSICA RANSONET (OD)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:RANSONET
Last Name:MURRELL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 LOUISANA STREET
Mailing Address - Street 2:STE M175
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002
Mailing Address - Country:US
Mailing Address - Phone:713-225-2600
Mailing Address - Fax:
Practice Address - Street 1:910 LOUISIANA ST
Practice Address - Street 2:STE 175
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-4916
Practice Address - Country:US
Practice Address - Phone:713-225-2600
Practice Address - Fax:713-225-2602
Is Sole Proprietor?:No
Enumeration Date:2008-08-20
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7225TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L2154Medicare PIN
TX8F23949Medicare PIN