Individual
MR. JEREMY HEATH JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
3107 REDFIELD DR, PASADENA, TX 77503-2139
(713) 548-3409
Mailing address
3107 REDFIELD DR, PASADENA, TX 77503-2139
(713) 548-3409
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3135
TX
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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