Individual provider · Type 1 NPI

Angelica Jackson, PA-C

Medical Physician Assistant · Houston, TX

NPI number 1770950305 Active

Practice location

1616 Clear Lk Cty Blvd Ste 102
Houston, TX 77062-8069

Call (713) 493-1346 Map

Mailing address

4706 Sabero Ln
League City, TX 77573-4893

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA11392 (TX)
Medical Physician Assistant 363AM0700X0010-05899 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1770950305

Angelica Jackson, PA-C's National Provider Identifier is 1770950305, issued on Aug 31, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Houston, TX. The record was last updated on Apr 29, 2024.