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Individual

CARLA RENEE JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
PO BOX 6963, HOUSTON, TX 77265-6963
(281) 844-5643
Mailing address
PO BOX 6963, HOUSTON, TX 77265-6963

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
TX

Other

Enumeration date
01/19/2026
Last updated
01/19/2026
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