Jackson, Mary Kathleen
Jackson, Mary Kathleen is an individual health care provider with primary practice located at 23802 Highway 59 N , Kingwood TX 77339-1510. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Jackson, Mary Kathleen can be contacted via phone (281) 312-5400.Contact Information
Primary practice address
23802 Highway 59 N
Kingwood TX 77339-1510
Phone: (281) 312-5400
Fax: (281) 312-5440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | P6191 | Texas |
Profile Details
| NPI number | 1558595371 |
|---|---|
| LBN Legal business name | Jackson, Mary Kathleen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 7th, 2009 |
| Last updated | Apr 21st, 2014 - about 10 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 | 1558595371 | NPPES |
| Texas | MEDICAID | 328359001 |
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