Yametrius Jackson
Contractor · Del Valle, TX
NPI number
1912524992
Practice location
3903 Caldwell LnDel Valle, TX 78617-3021
- Phone
- (979) 393-1422
NPI record
- NPI
- 1912524992
- Entity type
- Individual (Type 1)
- Enumeration date
- June 25, 2020
- Last updated
- June 25, 2020
- Certified
- June 25, 2020
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor Primary | 171W00000X |
— | — |
About Yametrius Jackson
Yametrius Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 3903 Caldwell Ln, Del Valle, TX 78617-3021. The NPI number 1912524992 was assigned on June 25, 2020 and the record was last updated on June 25, 2020.
Frequently asked questions
What is the NPI number of Yametrius Jackson?
The NPI number is 1912524992.
What is the phone number of Yametrius Jackson?
The phone number listed for the practice location is (979) 393-1422.
Where is Yametrius Jackson located?
3903 Caldwell Ln, Del Valle, TX 78617-3021.
What is the taxonomy code for Yametrius Jackson?
The primary taxonomy code is 171W00000X – Contractor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Contractor providers in Del Valle
- Raven Sywaun Yates5525 Ross Rd Apt 1134
- Patricia Thomas112 Rock Point