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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427378710 NPPES
Texas MEDICAID 3677494-01
Texas Other R1581

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