Lisa Jackson, B.A. SLPA

NPI 1720493224 · on the registry since 2014 · sole proprietor

Practice

Address: 3200 Troup Hwy Ste, 120
Tyler, TX 75701
Phone: (903) 253-0095
Organisation at this address: Henra Inc.
Trinity Clinic
Excel X-Ray Llc
Conciergemed, Pllc
Speed Of Light Xray, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 22

Registry record

Primary taxonomy: 2355S0801X
2355S0801X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-06-24

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