Henderson, Jakara

Henderson, Jakara is an sole proprietor health care provider with primary practice located at 1610 S Malcolm X Blvd Ste 320 , Dallas TX 75226-2100. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Henderson, Jakara can be contacted via phone (409) 597-5673.

Contact Information

Primary practice address
1610 S Malcolm X Blvd Ste 320 Dallas TX 75226-2100
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X Texas

Profile Details

NPI number 1164235644
LBN Legal business name Henderson, Jakara
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2025
Last updated Jan 29th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers