Individual
JACKIE EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRS/ICRC
Contact information
Practice address
401 BRANARD ST FL 2, HOUSTON, TX 77006-5015
(713) 529-0037
Mailing address
401 BRANARD ST FL 2, HOUSTON, TX 77006-5015
(713) 529-0037
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1048-0519
TX
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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