Individual
RAKESH JAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
461 THIS WAY ST, LAKE JACKSON, TX 77566-5143
(979) 480-9886
(979) 480-9997
Mailing address
19 HERITAGE OAK CT, LAKE JACKSON, TX 77566-4961
(979) 480-9886
(979) 480-9997
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
J0540
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y0079715
DEPT OF PUBLIC SAFETY
TX
Enumeration date
06/06/2007
Last updated
03/07/2023
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