Jackson, Elisabeth Vennecia

Jackson, Elisabeth Vennecia is an individual health care provider with primary practice located at 2222 Welborn St Texas Scottish Rite Hospital For Children, Dallas TX 75219-3924. She recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as her primary health care specialty. Jackson, Elisabeth Vennecia can be contacted via phone (214) 559-7817.

Contact Information

Primary practice address
2222 Welborn St Texas Scottish Rite Hospital For Children Dallas TX 75219-3924
Phone: (214) 559-7817
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X J7527 Texas

Profile Details

NPI number 1821416520
LBN Legal business name Jackson, Elisabeth Vennecia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2014
Last updated Mar 31st, 2014 - about 12 years ago

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.

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