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Organization
RADIANCE WOMEN'S OBSTETRICS AND GYNECOLOGY
Active
Organization
RADIANCE WOMEN'S OBSTETRICS AND GYNECOLOGY
Active
Other names
Tania White Jackson, M.D., P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY WHITE SIMS (OFFICE MANAGER)
(972) 981-3544
Entity
Organization
Contact information
Practice address
6300 W PARKER RD STE 325, PLANO, TX 75093-8103
(972) 981-3535
(972) 981-3536
Mailing address
6300 W PARKER RD STE 325, PLANO, TX 75093-8103
(972) 981-3535
(972) 981-3536
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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