Matthews-Jackson, Shayla T
Matthews-Jackson, Shayla T is an individual health care provider with primary practice located at 1401 Medical Pkwy Ste 311 , Cedar Park TX 78613-5014. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Matthews-Jackson, Shayla T can be contacted via phone (877) 800-5722.Contact Information
Primary practice address
1401 Medical Pkwy Ste 311
Cedar Park TX 78613-5014
Phone: (877) 800-5722
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD452011 | Pennsylvania |
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | R1581 | Texas |
Profile Details
NPI number | 1427378710 |
---|---|
LBN Legal business name | Matthews-Jackson, Shayla T |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 9th, 2010 |
Last updated | Mar 4th, 2024 - about last year |
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 | 1427378710 | NPPES |
Texas | MEDICAID | 3677494-01 | |
Texas | Other | R1581 |
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