Angalene Deapen Jackson, DO Valid NPI

Individual provider · Obstetrics & Gynecology Physician · Mansfield, TX

NPI

1770994766

Type

Individual (Type 1)

Primary specialty

Obstetrics & Gynecology Physician (Obstetrics & Gynecology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207V00000X

License number

Q9384 (VI)

Sex

Female

Sole proprietor

No

Enumerated

2014-05-13

Last updated

2024-02-07