Jackson, James M.

Jackson, James M. is an individual health care provider with primary practice located at 12221 North Mopac Expressway , Austin TX 78758. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Jackson, James M. can be contacted via phone (512) 901-1000.

Contact Information

Primary practice address
12221 North Mopac Expressway Austin TX 78758
Phone: (512) 901-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X H4436 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X H4436 Texas

Profile Details

NPI number 1528001237
LBN Legal business name Jackson, James M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated May 13th, 2010 - about 14 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 1528001237 NPPES
Texas MEDICAID 134602503
Texas MEDICAID 134602508

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