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1972024180
BRIAN MICHAEL JACKSON
AUSTIN, TX
NPI
1972024180
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA11364)
Enumeration Date
2017-06-28
Last Update Date
2023-08-11
Business Address
BRIAN MICHAEL JACKSON PA-C
7951 SHOAL CREEK BLVD STE 200
AUSTIN, TX 78757-7581
Phone number: 512-454-4588
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Mailing Address
BRIAN MICHAEL JACKSON PA-C
PO BOX 10597
AUSTIN, TX 78766-1597
Phone number: 512-485-5889
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