Individual
JACKSON POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 W 38TH ST, AUSTIN, TX 78705-1006
(512) 324-1000
Mailing address
8455 FERN AVE APT 1602, SHREVEPORT, LA 71105-5787
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
944801
TX
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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