Individual
JACKIE NULL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
601 ROCKMEAD DR., KINGWOOD, TX 77339
(281) 359-5115
(281) 312-3831
Mailing address
7401 S. MAIN, HOUSTON, TX 77030-4509
(713) 799-2300
(713) 794-3395
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
978
TX
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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