Provider Demographics
NPI:1972487296
Name:DAVIS, JENIFER ALEJANDRA (OD)
Entity type:Individual
Prefix:DR
First Name:JENIFER
Middle Name:ALEJANDRA
Last Name:DAVIS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:JENIFER
Other - Middle Name:ALEJANDRA
Other - Last Name:MORALES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 690002
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78269-0002
Mailing Address - Country:US
Mailing Address - Phone:210-381-0312
Mailing Address - Fax:
Practice Address - Street 1:5025 NW LOOP 410
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-5313
Practice Address - Country:US
Practice Address - Phone:210-381-0312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11500152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist