Individual
JACKSON PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
2002 HOLCOMBE BLVD, BUILDING 121, HOUSTON, TX 77030-4211
(832) 728-9617
Mailing address
2002 HOLCOMBE BLVD, BUILDING 121, HOUSTON, TX 77030-4211
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
115861
TX
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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