MEDICARE: DORIS ANN JACKSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164X00000X	Licensed Vocational Nurse	341645	TX

General Provider Information

NPI Number	:	1033778774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DORIS ANN JACKSON

Provider Business Mailing Address
First Line	:	19321 PARK ROW APT 1211
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-4892
Country	:	US
Telephone Number	:	423-645-9932
Fax Number	:

Provider Business Practice Location Address
First Line	:	19321 PARK ROW APT 1211
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-4892
Country	:	US
Telephone Number	:	423-645-9932
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2019
Last Update Date	:	06/06/2019

Similar Medicare Providers

1306162268 — TEXAS PLUS HOMEHEALTH INC.
Practice Location Address:

6633 HILLCROFT ST STE 221
HOUSTON, TX
77081-4892

Practice Phone: 713-981-1111
Practice Fax: 713-981-1101

1912484932 — DARA BREON EDWARDS NP
Practice Location Address:

8498 S SAM HOUSTON PKWY E STE 100
HOUSTON, TX
77075-4892

Practice Phone: 832-937-5919
Practice Fax:

1255897898 — MRS. KIYOKO AUGUSTUS ORGANIZATION
Practice Location Address:

12337 JONES RD STE 200-7
HOUSTON, TX
77070-4892

Practice Phone: 281-653-2040
Practice Fax:

1306508072 — VALERIE NANA GYEBI-ANTWI FNP-BC
Practice Location Address:

8498 S SAM HOUSTON PKWY E STE 100
HOUSTON, TX
77075-4892

Practice Phone: 832-937-5919
Practice Fax: 888-640-5278

1659024537 — CENTRUM MEDICAL GROUP, PLLC
Practice Location Address:

8498 S SAM HOUSTON PKWY E STE 100
HOUSTON, TX
77075-4892

Practice Phone: 800-218-8989
Practice Fax: 786-558-0242

1568188415 — KEYUANTE DOWNEY
Practice Location Address:

12337 JONES RD STE 200-7
HOUSTON, TX
77070-4892

Practice Phone: 832-712-7899
Practice Fax:

Directions to “ DORIS ANN JACKSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.