Search › Texas › 101YA0400X
Tim Jackson
NPI 1215662200 · on the registry since 2022
Practice
- Address
- 2402 High Star Dr
Garland, TX 75041 - Phone
- (214) 253-7309
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-22
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