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Individual

JASON MATTHEW JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
7622 LOUIS PASTEUR DR STE 100, SAN ANTONIO, TX 78229-4019
(210) 610-3859
(210) 641-2277
Mailing address
7622 LOUIS PASTEUR DR STE 100, SAN ANTONIO, TX 78229-4019
(210) 610-3859
(210) 641-2277

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA070989
TX
363AM0700X
Medical Physician Assistant

Other

Enumeration date
09/26/2012
Last updated
04/25/2023
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