MRS. Casey Yates Jackson, P.A.

NPI #1013189901 in Magnolia, Texas

Provider Information

NPI Number
1013189901
Entity Type
Individual
Name
MRS. Casey Yates Jackson, P.A.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
P.A.
Enumeration Date
Mar 31, 2008
Last Updated
Mar 13, 2014

Practice Location

Address
18535 FM 1488 RD
Address 2
SUITE 210
State
Texas
ZIP Code
77354-2700
Phone
(281) 789-7065

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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