Individual
ALEXIS JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 ASHWORTH CT, CONROE, TX 77385-3485
(469) 595-1236
Mailing address
22 ASHWORTH CT, CONROE, TX 77385-3485
(469) 595-1236
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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