Individual
MARCUS JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14785 PRESTON RD, SUITE 550, DALLAS, TX 75254-7876
(888) 699-8985
(972) 525-5388
Mailing address
PO BOX 224221, DALLAS, TX 75222-4221
(888) 699-8985
(972) 525-5388
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/22/2016
Last updated
01/24/2022
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