Stephanie Jacks

NPI #1003041567 in Houston, Texas

Provider Information

NPI Number: 1003041567
Entity Type: Individual
Name: Stephanie Jacks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Enumeration Date: May 27, 2009
Last Updated: Dec 17, 2021

Practice Location

Address: 6701 FANNIN ST
City: Houston
State: Texas
ZIP Code: 77030-2608
Phone: (832) 824-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X
Pediatrics	208000000X	Primary

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