Jackson Wahman
Jackson Wahman is a Student in an Organized Health Care Education/Training Program in Conroe, Texas. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
925 City Central AveConroe, TX 77304-2981
Phone: (936) 202-5202
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1114785664 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 11, 2024 |
| Last updated in NPPES | March 11, 2024 |
| Certification date | March 9, 2024 |
| Mailing address | 164 Skybranch Dr, Conroe, TX 77304-4256 |
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925 City Central Ave, Conroe, TX 77304-2981 · (936) 202-5202