Search › Texas › 101YP2500X
Connie Jackson
NPI 1265973812 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1410 Ranch Road 2900 Ste 303
Kingsland, TX 78639 - Phone
- (830) 499-3744
Additional practice sites
- 809 12th St Ste C3-B, Marble Falls, TX
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YA0400X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-10-02
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