Individual
APRIL RENEE JACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10010 SAGEDOWNE LN, HOUSTON, TX 77089-4312
(832) 643-9739
(281) 922-6352
Mailing address
10010 SAGEDOWNE LN, HOUSTON, TX 77089-4312
(832) 643-9739
(281) 922-6352
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
38266
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801011
—
TX
Enumeration date
12/06/2006
Last updated
07/08/2007
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