O. B. Jackson, Jr.,Md, Pa

LBN: O. B. Jackson, Jr.,Md, Pa
O. B. Jackson, Jr.,Md, Pa is an health care organization with primary practice located at 3509 Lawton Ave , Austin TX 78731-6112. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. O. B. Jackson, Jr.,Md, Pa can be contacted via phone (512) 451-0234, or through Jackson, Oscar B via phone (512) 451-0234.

Contact Information

Primary practice address
3509 Lawton Ave Austin TX 78731-6112
Phone: (512) 451-0234
Fax: (512) 451-3566
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Oscar B Doctor of Medicine (MD)
Phone: (512) 451-0234

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X D8288 Texas

Profile Details

NPI number 1598937203
LBN Legal business name O. B. Jackson, Jr.,Md, Pa
DBA Doing business as
Authorized official Jackson, Oscar B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2008
Last updated May 5th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598937203 NPPES
Texas MEDICAID 134810405

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