Individual
MR. CLAUDE NATHANIEL JACKSON IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
5943 SAGAMORE BAY LN, RICHMOND, TX 77469-7203
(832) 656-7775
(832) 550-2400
Mailing address
5943 SAGAMORE BAY LN, RICHMOND, TX 77469-7203
(832) 656-7775
(832) 550-2400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18700
TX
Other
Enumeration date
12/04/2006
Last updated
03/14/2011
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