Individual
DR. NICHOLAS T JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
99 REGENCY PKWY STE 211, MANSFIELD, TX 76063-7819
(800) 404-6050
(866) 313-3397
Mailing address
PO BOX 700688, SAN ANTONIO, TX 78270-0688
(210) 318-3007
(210) 468-0682
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12607
TX
111NR0400X
Rehabilitation Chiropractor
Primary
12607
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12607
CHIROPRACTIC LICENSE
TX
Enumeration date
06/17/2014
Last updated
02/20/2026
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