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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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 | 1760738355 | NPPES |
| Texas | MEDICAID | 335913503 |
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