Individual
COURTNEY JACOCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2552 BROADWAY ST STE 102, PEARLAND, TX 77581-4904
(281) 824-1490
(281) 220-6407
Mailing address
1612 CALLAWAY DR, ALVIN, TX 77511-3743
(281) 824-1480
(281) 220-6407
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
32623
TX
Other
Enumeration date
05/06/2013
Last updated
05/22/2024
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