Individual
RICHARD BLAIR JACKSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7950 FLOYD CURL DR, STE 101, SAN ANTONIO, TX 78229-3916
(210) 614-0880
(210) 692-0301
Mailing address
7950 FLOYD CURL DR, STE 101, SAN ANTONIO, TX 78229-3916
(210) 614-0880
(210) 692-0301
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
HO488
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P08932407
—
TX
Enumeration date
08/09/2006
Last updated
09/23/2013
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