Detra Jackson

NPI 1558206359 · on the registry since 2026

Practice

Address: 1910 Pacific Ave Ste 20001046
Dallas, TX 75201
Phone: (305) 988-7335
Organisation at this address: Therapy Linx
Atcare, Inc.
Veterans Room
Oasis Nest Llc
Selene Care Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 26

Registry record

Primary taxonomy: 172V00000X
172V00000X
Also registered as: 311ZA0620X
315P00000X
320800000X
172A00000X
251S00000X
Licence states on file: NULL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-04-20

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