Jackson, Theresa

Jackson, Theresa is an individual health care provider with primary practice located at 4629 E 13Th Pl , Tulsa OK 74112-6103. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Jackson, Theresa can be contacted via phone (405) 822-8297.

Contact Information

Primary practice address
4629 E 13Th Pl Tulsa OK 74112-6103
Phone: (405) 822-8297
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X BP10052439 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 32423 Oklahoma

Profile Details

NPI number 1164818993
LBN Legal business name Jackson, Theresa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2015
Last updated Jul 11th, 2024 - about 2 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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