Individual
DR. GERALD JACKNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 WALL ST, AUSTIN, TX 78754-4534
(512) 339-1275
(512) 873-5069
Mailing address
9200 WALL ST, AUSTIN, TX 78754-4534
(512) 339-1275
(512) 873-5069
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G6844
TX
Other
Enumeration date
04/19/2006
Last updated
07/13/2007
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