Individual
COURTNEY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4134 WOODMONT DR, HOUSTON, TX 77045-3330
(713) 987-8373
Mailing address
4134 WOODMONT DR, HOUSTON, TX 77045-3330
(713) 987-8373
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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