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Individual

MRS. JACKIE CARVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPO, LPO

Contact information

Practice address
1614 LOUETTA RD, SUITE E, SPRING, TX 77388-4787
(281) 631-9400
(281) 631-9410
Mailing address
1614 LOUETTA RD, SUITE E, SPRING, TX 77388-4787
(281) 631-9400
(281) 631-9410

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
1017
TX
224P00000X
Prosthetist
Primary
1017
TX

Other

Enumeration date
12/30/2014
Last updated
12/30/2014
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