Jackson, Jeffrey Allen
Jackson, Jeffrey Allen is an individual health care provider with primary practice located at 13828 Drakewood Dr , Sugar Land TX 77498-2662. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Jackson, Jeffrey Allen can be contacted via phone (713) 705-6972.Contact Information
Primary practice address
13828 Drakewood Dr
Sugar Land TX 77498-2662
Phone: (713) 705-6972
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | F5585 | Texas |
Profile Details
| NPI number | 1821090697 |
|---|---|
| LBN Legal business name | Jackson, Jeffrey Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Apr 4th, 2022 - about 4 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 | 1821090697 | NPPES |
| Texas | Other | P01031010 | RR MEDICARE |
| Texas | Other | P00866614 | RR MEDICARE |
| Texas | Other | 1821090697 | RR MEDICARE |
| Texas | MEDICAID | 128033105 | RR MEDICARE |
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