ANGEL JACKSON

SAN ANTONIO, TX
NPI1609300102
Former NameANGEL CHAMBERS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  1024242)
Additional Taxonomies111N00000X Chiropractor
(Licence: TX  13441)
Enumeration Date2017-04-12
Last Update Date2024-10-29
Business Address
ANGEL JACKSON PMHNP
5119 BECKWITH BLVD STE 105
SAN ANTONIO, TX 78249-2277
Phone number: 210-366-3700
Mailing Address
ANGEL JACKSON PMHNP
911 CENTRAL PKWY N STE 300
SAN ANTONIO, TX 78232-5053
Phone number: 800-404-6050