SearchTexas363L00000X

Marlischa Jackson

NPI 1801399019 · on the registry since 2018 · sole proprietor

Practice

Address
21970 Bulverde Rd Ste 103
San Antonio, TX 78259
Phone
(210) 625-5708
Fax
(888) 227-1442
Organisation at this address
S. Texas Ortho Pllc
Pediatric Heroes Primary Care Clinic, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
363L00000X
363L00000X
Also registered as
363LF0000X
363LP0200X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-03-04

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