Individual
MR. JAMES RICHARD JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3403 S PADRE ISLAND DR STE 301, CORPUS CHRISTI, TX 78415-2925
(361) 445-3969
(361) 445-3970
Mailing address
13310 LEOPARD ST STE 6, CORPUS CHRISTI, TX 78410
(361) 241-2722
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04123
TX
Other
Enumeration date
01/24/2007
Last updated
10/21/2015
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