Nathan Robert Jackson, IDC
NPI #1134790728 in Kingsville, Texas
Provider Information
- NPI Number
- 1134790728
- Entity Type
- Individual
- Name
- Nathan Robert Jackson, IDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- Jul 6, 2021
- Last Updated
- Jan 6, 2025
Practice Location
- Address
- 730 FORRESTAL ST BLDG 3775
- City
- Kingsville
- State
- Texas
- ZIP Code
- 78363-5112
- Phone
- (361) 516-6266
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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