Individual
CHARA JACKSON-SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13322 CASTLECOMBE DR, HOUSTON, TX 77044-4949
(281) 797-8965
Mailing address
15410 BANTER TRAILS CT, HOUSTON, TX 77049-1795
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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