CHRIS G JACKSON

IRVING, TX
NPI1124366497
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: TX  209724)
Enumeration Date2013-01-22
Last Update Date2013-01-22
Business Address
Mr. CHRIS G JACKSON COTA
6191 N STATE HIGHWAY 161 STE 650
IRVING, TX 75038-2250
Phone number: 972-812-3299
Mailing Address
Mr. CHRIS G JACKSON COTA
2715 COLUMBUS
GRAND PRAIRIE, TX 75054-5512
Phone number: 682-365-2442
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