MRS. Katrina Marie Jackson, PA-C
NPI #1073735445 in League City, Texas
Provider Information
- NPI Number
- 1073735445
- Entity Type
- Individual
- Name
- MRS. Katrina Marie Jackson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- May 3, 2007
- Last Updated
- Oct 30, 2009
Practice Location
- Address
- 2911 S SHORE BLVD STE 190
- City
- League City
- State
- Texas
- ZIP Code
- 77573-3919
- Phone
- (281) 538-8188
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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