Jackson, George Walker
Jackson, George Walker is an individual health care provider with primary practice located at 7430 Remcon Cir Bldg A, El Paso TX 79912-3514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jackson, George Walker can be contacted via phone (915) 584-0051.Contact Information
Primary practice address
7430 Remcon Cir Bldg A
El Paso TX 79912-3514
Phone: (915) 584-0051
Fax: (915) 833-1114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | F9613 | Texas |
Profile Details
| NPI number | 1962406694 |
|---|---|
| LBN Legal business name | Jackson, George Walker |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Jun 13th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962406694 | NPPES |
| Texas | Other | 81V798 | MEDICARE |
| Texas | MEDICAID | 1303869-03 | MEDICARE |
| Texas | MEDICAID | 130386907 | MEDICARE |
| Texas | Other | TXB153741 | MEDICARE |
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