| Doctor Name: | MR. HOWARD WOODROW JACKSON |
| NPI Number: | 1689629891 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | R.D.C.S. |
| License Number: | 16604 |
| Business Practice Address: | 301 W Boundary Ave Winnfield, LA - 714833427 |
| Business Phone Number: | 3186483064 |
| Business Fax Number: | 3186283285 |
| Mailing Address: | 25 Kanome Road, LECOMPTE |
| State: | LA |
| Postal Code: | 713469566 |
| Phone Number: | 3187769949 |
| Fax Number: | 4136538834 |
| NPI Enumeration Date: | 05/24/2006 |
| NPI Last Update Date: | 08/04/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246XS1301X |
| License Number: | 16604 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Spec/Tech, Cardiovascular |
| Taxonomy Specialization: | Sonography |
| Taxonomy Definition: | |