DR. ROBERT WAYNE JACKSON M.D. NPI 1689630196

NPI Information

NPI: 1689630196
Provider Name: DR. ROBERT WAYNE JACKSON, M.D.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
17070 RED OAK DR.
SUITE 409
HOUSTON, TX
ZIP 77090
Phone: (281) 440-8090
Get Directions

DR. Robert Wayne Jackson, M.D. is an obstetrics gynecology in Houston, TX. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Robert Wayne Jackson, M.D. NPI is 1689630196. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17070 RED OAK DR.
SUITE 409
HOUSTON, TX
ZIP 77090-617
Phone: (281) 440-8090
Fax: (281) 440-9959

The enumeration date for this NPI number is 4/24/2006 and was last updated on 2/23/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		E4426	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	C17362	MEDICARE UPIN	TEXAS
2	00198M	MEDICARE ID-TYPE UNSPECIFIED	TEXAS
3	0352122-01	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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