Individual
BOBBY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L. AC.
Contact information
Practice address
894 SUMMIT ST, ROUND ROCK, TX 78664-4322
(512) 341-9900
Mailing address
894 SUMMIT ST, ROUND ROCK, TX 78664-4322
(512) 341-9900
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00650
TX
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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