Individual
CLARA MARIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5453 BURNET RD APT 310, AUSTIN, TX 78756-1635
(832) 205-3452
Mailing address
5453 BURNET RD APT 310, AUSTIN, TX 78756-1635
(832) 205-3452
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT92379
TX
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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