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DR. ROBERT ALAN JACK M.D. NPI 1023429057


NPI Information

NPI: 1023429057
Provider Name: DR. ROBERT ALAN JACK, M.D.
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Organization: TMH PHYSICIAN ASSOCIATES PLLC

PECOS Registration: Yes

Address:
6565 FANNIN STREET,
MGJ9-THE METHODIST HOSPITAL, GRADUATE MEDICAL EDUCATION
HOUSTON, TX
ZIP 77030
Phone: (713) 441-3556
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DR. Robert Alan Jack, M.D. is a student in an organized health care education training program in Houston, TX with 14 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Robert Alan Jack, M.D. NPI is 1023429057. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EASTERN VIRGINIA MEDICAL SCHOOL
Graduation Year:2010

The provider's business location address is:

6565 FANNIN STREET,
MGJ9-THE METHODIST HOSPITAL, GRADUATE MEDICAL EDUCATION
HOUSTON, TX
ZIP 77030
Phone: (713) 441-3556

The NPI 1023429057 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/13/2014 and was last updated on 5/13/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.