Provider Demographics
NPI:1699950667
Name:JORCLARA INC
Entity type:Organization
Organization Name:JORCLARA INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CLARA
Authorized Official - Middle Name:ALICIA
Authorized Official - Last Name:MUNOZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:713-921-0233
Mailing Address - Street 1:910 S WAYSIDE DR
Mailing Address - Street 2:STE 400
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77023-3428
Mailing Address - Country:US
Mailing Address - Phone:713-921-0233
Mailing Address - Fax:713-921-4304
Practice Address - Street 1:910 S WAYSIDE DR
Practice Address - Street 2:STE 400
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77023-3428
Practice Address - Country:US
Practice Address - Phone:713-921-0233
Practice Address - Fax:713-921-4304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4400T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0060FDOtherBC/BS
TX0060FDOtherBC/BS