Individual
ERIC JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9631B FM 1960 RD W, HOUSTON, TX 77070-6110
(281) 469-0589
Mailing address
26615 OAK RIDGE DR, THE WOODLANDS, TX 77380-1968
(281) 296-8600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20318
TX
Other
Enumeration date
01/10/2007
Last updated
04/06/2009
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