Individual
TAICAERIA TA'RAI JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6930 FM 1960 RD W, HOUSTON, TX 77069-3702
(281) 836-6085
Mailing address
4526 VERONA HILLS LN, KATY, TX 77449-2990
(281) 978-0460
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1021096
TX
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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