Jackson, Paul Thomas
Jackson, Paul Thomas is an sole proprietor health care provider with primary practice located at 4550 Lamar Ave Suite 200, Paris TX 75462-5124. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jackson, Paul Thomas can be contacted via phone (903) 739-2888.Contact Information
Primary practice address
4550 Lamar Ave Suite 200
Paris TX 75462-5124
Phone: (903) 739-2888
Fax: (903) 739-9643
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | K3760 | Texas |
Profile Details
| NPI number | 1154435899 |
|---|---|
| LBN Legal business name | Jackson, Paul Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Jan 23rd, 2015 - about 9 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 | 1154435899 | NPPES |
| Texas | MEDICAID | 096332401 |
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