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JACKSON OCULOFACIAL AND COSMETIC SURGERY PA NPI 1689285819


NPI Information

NPI: 1689285819
Provider Name: JACKSON OCULOFACIAL AND COSMETIC SURGERY PA
Classification: Ophthalmology - 207WX0200X
Entity Type: Organization

Specialization: Ophthalmic Plastic and Reconstructive Surgery

Address:
3636 GREENBRIAR DR STE 2A
HOUSTON, TX
ZIP 77098
Phone: (832) 899-5699
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JACKSON OCULOFACIAL AND COSMETIC SURGERY PA is an ophthalmic plastic and reconstructive surgery ophthalmology in Houston, TX. The provider is a physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. JACKSON OCULOFACIAL AND COSMETIC SURGERY PA NPI is 1689285819. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3636 GREENBRIAR DR STE 2A
HOUSTON, TX
ZIP 77098-004
Phone: (832) 899-5699

The provider's authorized official is Jenell Jackson .
The authorized official title is Managing Physician and has the following contact phone number (404) 790-7628.

The enumeration date for this NPI number is 8/11/2020 and was last updated on 2/16/2022.


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
1207WX0200XOphthalmologyOphthalmic Plastic and Reconstructive SurgeryYes

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

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