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Corey Jackson

NPI 1215395637 · on the registry since 2016

Practice

Address
1650 S Stonebridge Dr
Mckinney, TX 75072
Phone
(972) 529-1420
Organisation at this address
Esc Iv, Lp
Prestige Rehab Tx Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-07-02

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