Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK WAYNE JACKSON
Active Sole ProprietorMARK WAYNE JACKSON is a Occupational Therapist healthcare provider located in BENBROOK, Texas. NPI 1134755721 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · BENBROOK, TX
Registration Details
- NPI Number
- 1134755721
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 16, 2020 (6.4587149145833 yrs)
- Last Updated
- Mar 16, 2020
- License
-
108520 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8608 MARYS CREEK DRBENBROOK, TX, 761167624Browse TX providers · Browse ZIP 76116
- Phone
- 8174202929
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in BENBROOK, TX
| Name | Credential | NPI |
|---|---|---|
| ANDREA RENEE STARK | OTR | 1518194737 |
| LUCIA ROSARIO SOLANO | — | 1073167474 |
| DUSTIN LEE BLEVINS | — | 1598370900 |
| CAMERON STONE | OTR | 1336873116 |
| SYDNEY FAITH RANGEL | OTR/L | 1386379477 |
| SHELBY SHARP | OTR | 1851122139 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.