MR. Chris G Jackson, COTA

NPI #1124366497 in Irving, Texas

Provider Information

NPI Number: 1124366497
Entity Type: Individual
Name: MR. Chris G Jackson, COTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Credential: COTA
Enumeration Date: Jan 22, 2013
Last Updated: Jan 22, 2013

Practice Location

Address: 6191 N STATE HIGHWAY 161 STE 650
City: Irving
State: Texas
ZIP Code: 75038-2250
Phone: (972) 812-3299

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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