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:
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Health care specialties

SpecialtyCodeLicense #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 3 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 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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