Individual provider · Type 1 NPI

Roderick Jackson

Driver · Houston, TX

NPI number 1205194776 Active

Practice location

11826 Longwood Garden Way
Houston, TX 77047-4434

Call (713) 516-5780 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1205194776

Roderick Jackson's National Provider Identifier is 1205194776, issued on May 2, 2012. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Houston, TX. The record was last updated on May 2, 2012.