Jackson, Michael

Jackson, Michael is an individual health care provider with primary practice located at 9305 Pinecroft Dr Ste 101 , The Woodlands TX 77380-3482. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jackson, Michael can be contacted via phone (713) 897-7500.

Contact Information

Primary practice address
9305 Pinecroft Dr Ste 101 The Woodlands TX 77380-3482
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M3272 Texas

Profile Details

NPI number 1124019989
LBN Legal business name Jackson, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Mar 25th, 2021 - 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 1124019989 NPPES
Texas Other 00J21A MEDICARE GROUP NUMBER

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