Individual
FLOYD RAY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7322 THUROW ST, HOUSTON, TX 77087
(832) 335-3216
(832) 201-9729
Mailing address
7322 THUROW ST, HOUSTON, TX 77087-3721
(832) 335-3216
(832) 201-9729
Taxonomy
Speciality
Code
Description
License number
State
174V00000X
Clinical Ethicist
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7311
MEDICAID/MEDICARE
TX
Enumeration date
12/23/2013
Last updated
12/23/2013
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