Jackson, Richard

Jackson, Richard is an individual health care provider with primary practice located at 3601 4Th St Ms 8103, Lubbock TX 79430-0002. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Jackson, Richard can be contacted via phone (806) 743-2800.

Contact Information

Primary practice address
3601 4Th St Ms 8103 Lubbock TX 79430-0002
Phone: (806) 743-2800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Texas

Profile Details

NPI number 1043480007
LBN Legal business name Jackson, Richard
Credentials MD0416
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2008
Last updated Mar 6th, 2008 - about 17 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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