Individual
WILLIAM J JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9301 N CENTRAL EXPY, SUITE 400, DALLAS, TX 75231-0806
(214) 220-2468
(214) 397-1555
Mailing address
9301 N CENTRAL EXPY, SUITE 400, DALLAS, TX 75231-0806
(214) 220-2468
(214) 397-1555
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D1683
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88960G
BLUE CROSS BLUE SHILED
TX
01
—
P00284672
RAILROAD MEDICARE
TX
Enumeration date
08/14/2006
Last updated
03/28/2013
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