Individual
REGINALD COURTNEY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1302 WAUGH DR # 834, HOUSTON, TX 77019-3908
(832) 588-5467
Mailing address
1302 WAUGH DR # 834, HOUSTON, TX 77019-3908
(832) 588-5467
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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