P Praxis·MD
● Active Type 1 · Individual

Kimberly Jackson, HAIR LOSS SPECIALIST

Technician, Pathology·Plano, TX· NPI 1710418355 · Enumerated 2017 · 9 years on NPI
Jackson is 1 of 6 technician, pathology providers in Plano and 1 of 393 in Texas.
NPI age
9 years
Enumerated 2017-03-24
Primary specialty
Technician, Pathology
Plus 1 subspecialty
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2022-02-16
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 393 active technician, pathology providers in Texas.

NPI age
9 years
↑ 7 yr above median (2 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 11% of peers with subspecialties

NPI lifetime · 2017 → 2026

2017-03Enumerated in NPPES
2017 2026

Where they practice

Practice location
204 Coit Rd Ste 200
Plano, TX 750755718
📞 2147275725
Mailing address
2402 High Star Dr
Garland, TX 750413236
📞 2147275725

Specialties

  • Technician, Pathology Primary
    Definition to come...
    taxonomy 246RP1900X
  • Specialist/Technologist
    General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.
    taxonomy 225500000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 2 new technician, pathology providers have been added in Plano in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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