Individual
DR. BRYAN LEONARD JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9510 N SAM HOUSTON PKWY E, HUMBLE, TX 77396-2935
(281) 454-5214
Mailing address
8243 HARTFORD ST, HOUSTON, TX 77017-2232
(727) 744-7717
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
61719
TX
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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