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
Phone: (214) 750-3646
Fax: (214) 265-9378
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851387625 | NPPES |
Texas | MEDICAID | 104146902 |
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