Individual
DR. JULIE ANN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
11927 COBBLESTONE DR, HOUSTON, TX 77024-5053
(713) 668-8890
(713) 668-8890
Mailing address
11927 COBBLESTONE DR, HOUSTON, TX 77024-5053
(713) 668-8890
(713) 668-8890
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5394TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041991301
—
TX
Enumeration date
05/31/2005
Last updated
08/29/2013
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