JACKSON PRESTWOOD

JBSA FT SAM HOUSTON, TX
NPI1124568548
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: VA  0101265195)
Enumeration Date2017-03-04
Last Update Date2023-06-07
Business Address
JACKSON PRESTWOOD MD
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-8666
Mailing Address
JACKSON PRESTWOOD MD
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-8666
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