Jackson, Phillip
Jackson, Phillip is an individual health care provider with primary practice located at 4609 Schwerin Lake Dr , Corpus Christi TX 78413-5255. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Jackson, Phillip can be contacted via phone (361) 808-9383.Contact Information
Primary practice address
4609 Schwerin Lake Dr
Corpus Christi TX 78413-5255
Phone: (361) 808-9383
Fax: (361) 808-9383
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | J4864 | Texas |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | J4864 | Texas |
Profile Details
NPI number | 1023088895 |
---|---|
LBN Legal business name | Jackson, Phillip |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 25th, 2006 |
Last updated | Aug 2nd, 2010 - about 14 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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