Individual
WARREN T JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3600 GASTON AVE, 1155 WADLEY TOWER, DALLAS, TX 75246-1800
(214) 820-5516
(214) 820-5518
Mailing address
3600 GASTON AVE, 1155 WADLEY TOWER, DALLAS, TX 75246-1800
(214) 820-5516
(214) 820-5518
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
33275
TX
Other
Enumeration date
06/28/2006
Last updated
04/04/2022
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