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Search › Texas › 225100000X

Jaynon Jackson

NPI 1073442067 · on the registry since 2026

Practice

Address
12500 Judson Rd Ste 201
Live Oak, TX 78233
Phone
(210) 314-1071
Fax
(210) 314-1802
Organisation at this address
Virtuosa, Pllc
Sports Medicine Associates Of San Antonio, Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas