STEPHANIE JACKS

HOUSTON, TX
NPI1003041567
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: TX  R4401)
Additional Taxonomies207N00000X Dermatology
(Licence: TX  R4401)
Enumeration Date2009-05-27
Last Update Date2021-12-17
Business Address
-- STEPHANIE JACKS
6701 FANNIN ST
HOUSTON, TX 77030-2608
Phone number: 832-824-1000
Mailing Address
-- STEPHANIE JACKS
2450 HOLCOMBE BLVD STE NB-34L
HOUSTON, TX 77021-2039
Phone number: 832-828-3660
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