Jackson, Richard H

Jackson, Richard H is an individual health care provider with primary practice located at 8230 Walnut Hill Ln Ste 220, Dallas TX 75231-4482. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Jackson, Richard H can be contacted via phone (214) 750-3646.

Contact Information

Primary practice address
8230 Walnut Hill Ln Ste 220 Dallas TX 75231-4482
Fax: (214) 265-9378
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X G1682 Texas

Profile Details

NPI number 1851387625
LBN Legal business name Jackson, Richard H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Jun 24th, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851387625 NPPES
Texas MEDICAID 104146902

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