RUSSELL BRENT JACKSON

SAN ANTONIO, TX
NPI1073752879
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: TX  P5384)
Enumeration Date2009-02-18
Last Update Date2019-05-06
Business Address
RUSSELL BRENT JACKSON D.O.
155 E SONTERRA BLVD STE 111
SAN ANTONIO, TX 78258-3988
Phone number: 210-729-1900
Mailing Address
RUSSELL BRENT JACKSON D.O.
PO BOX 593377
SAN ANTONIO, TX 78259-0218
Phone number: 210-494-9600
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