Organization
RICHARD A. JACKSON, M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD A. JACKSON M.D. (OWNER)
(713) 400-9990
Entity
Organization
Contact information
Practice address
1200 BINZ ST STE 1410, HOUSTON, TX 77004-6948
(713) 400-9990
(713) 400-9988
Mailing address
1200 BINZ ST STE 1410, HOUSTON, TX 77004-6948
(713) 400-9990
(713) 400-9988
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
D8289
TX
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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