Jackson, Michael Ray
Jackson, Michael Ray is an individual health care provider with primary practice located at 103 N First St , Rockwall TX 75087-3033. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jackson, Michael Ray can be contacted via phone (972) 771-5366.Contact Information
Primary practice address
103 N First St
Rockwall TX 75087-3033
Phone: (972) 771-5366
Fax: (972) 771-0424
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 19730 | Oklahoma |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | N0853 | Texas |
Profile Details
| NPI number | 1053467902 |
|---|---|
| LBN Legal business name | Jackson, Michael Ray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Sep 12th, 2012 - about 13 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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