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1871648253
JAMES RICHARD JACKSON
CORPUS CHRISTI, TX
NPI
1871648253
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA04123)
Enumeration Date
2007-01-24
Last Update Date
2015-10-21
Business Address
Mr. JAMES RICHARD JACKSON PA-C
3403 S PADRE ISLAND DR STE 301
CORPUS CHRISTI, TX 78415-2925
Phone number: 361-445-3969
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Mailing Address
Mr. JAMES RICHARD JACKSON PA-C
13310 LEOPARD ST STE 6
CORPUS CHRISTI, TX 78410
Phone number: 361-241-2722
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