Individual
MRS. QUIANNA K JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
18010 BULVERDE RD STE 106, SAN ANTONIO, TX 78259-3344
(800) 404-6050
(866) 313-3397
Mailing address
PO BOX 700688, SAN ANTONIO, TX 78270-0688
(210) 318-3007
(210) 468-0682
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
15576
TX
111N00000X
Chiropractor
DC36304
CA
111NR0400X
Rehabilitation Chiropractor
Primary
15576
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15576
CHIROPRACTIC LICENSE
TX
Enumeration date
11/08/2022
Last updated
02/24/2026
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