Individual
DR. LINDSEY NICOLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
12337 JONES RD STE 427, HOUSTON, TX 77070-4951
(832) 912-8603
Mailing address
308 E EDGEWOOD DR, FRIENDSWOOD, TX 77546-3823
(281) 992-4495
(281) 992-7412
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
N0125
TX
207P00000X
Emergency Medicine Physician
Primary
N0125
TX
208D00000X
General Practice Physician
N0125
TX
Other
Enumeration date
06/14/2007
Last updated
03/05/2012
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