Individual
MRS. CASEY YATES JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
18535 FM 1488 RD, SUITE 210, MAGNOLIA, TX 77354-2700
(281) 789-7065
(866) 469-6650
Mailing address
18535 FM 1488 RD, SUITE 210, MAGNOLIA, TX 77354-2700
(281) 789-7065
(866) 469-6650
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05689
TX
Other
Enumeration date
03/31/2008
Last updated
03/13/2014
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