Jackson, Andrew A

Jackson, Andrew A is an individual health care provider with primary practice located at 9180 Pinecroft Dr Ste 600 , Shenandoah TX 77380. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Jackson, Andrew A can be contacted via phone (281) 296-0365.

Contact Information

Primary practice address
9180 Pinecroft Dr Ste 600 Shenandoah TX 77380
Phone: (281) 296-0365
Fax: (281) 298-8907
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Q0464 Texas
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X Q0464 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X BP1-0040195 Texas
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X Q0464 Texas

Profile Details

NPI number 1760738355
LBN Legal business name Jackson, Andrew A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2012
Last updated Oct 4th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760738355 NPPES
Texas MEDICAID 335913503

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