Jackson, Michael
Jackson, Michael is an individual health care provider with primary practice located at 9305 Pinecroft Dr Ste 101 , The Woodlands TX 77380-3482. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jackson, Michael can be contacted via phone (713) 897-7500.Contact Information
Primary practice address
9305 Pinecroft Dr Ste 101
The Woodlands TX 77380-3482
Phone: (713) 897-7500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M3272 | Texas |
Profile Details
| NPI number | 1124019989 |
|---|---|
| LBN Legal business name | Jackson, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Mar 25th, 2021 - about 5 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 | 1124019989 | NPPES |
| Texas | Other | 00J21A | MEDICARE GROUP NUMBER |
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