# TANIA WHITE-JACKSON, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033413091
- **Authorized official:** TANIA W JACKSON M.D (PHYSICAIN)
- **Authorized official phone:** (972) 981-3535

## Contact information

- **Practice address:** 6300 W PARKER RD BLDG 2, STE 325, PLANO, TX 75093-8100
- **Practice address phone:** (972) 981-3535
- **Practice address fax:** (972) 981-3536
- **Mailing address:** 6300 W PARKER RD BLDG 2, STE 325, PLANO, TX 75093-8100
- **Mailing address phone:** (972) 981-3535
- **Mailing address fax:** (972) 981-3536

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | J9439 | TX | Yes |

## Other

- **Enumeration date:** 01/06/2011
- **Last updated:** 01/26/2011