Individual
JERRY SCOTT JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
H.I.S.
Contact information
Practice address
2601 S IH 35 STE A300, ROUND ROCK, TX 78664-7358
(512) 238-1828
(512) 238-1894
Mailing address
2601 S IH 35 STE A300, ROUND ROCK, TX 78664-7358
(512) 238-1828
(512) 238-1894
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
80750
TX
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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