Jackson, Richard Blair
Jackson, Richard Blair is an individual health care provider with primary practice located at 7950 Floyd Curl Dr Ste 101, San Antonio TX 78229-3916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Jackson, Richard Blair can be contacted via phone (210) 614-0880.Contact Information
Primary practice address
7950 Floyd Curl Dr Ste 101
San Antonio TX 78229-3916
Phone: (210) 614-0880
Fax: (210) 692-0301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | HO488 | Texas |
Profile Details
| NPI number | 1164432357 |
|---|---|
| LBN Legal business name | Jackson, Richard Blair |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Sep 23rd, 2013 - about 11 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 | 1164432357 | NPPES |
| Texas | MEDICAID | P08932407 |
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