RICHARD JACKSON MD0416 NPI 1043480007

NPI Information

Richard Jackson, MD0416 is a student in an organized health care education training program in Lubbock, TX. 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. Richard Jackson, MD0416 NPI is 1043480007. 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:

3601 4TH ST
MS 8103
LUBBOCK, TX
ZIP 79430-002
Phone: (806) 743-2800

The enumeration date for this NPI number is 3/6/2008 and was last updated on 3/6/2008.

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:

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