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Roderick Jackson
NPI 1205194776 · on the registry since 2012
Practice
- Address
- 11826 Longwood Garden Way
Houston, TX 77047 - Phone
- (713) 516-5780
- Organisation at this address
- One Source International, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Sex
- Male
- Record last updated
- 2012-05-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas