Individual
MR. GILCHRIST LEWIS JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7515 S. MAIN ST. SUITE 740, TEXAS ONCOLOGY, HOUSTON, TX 77030
(713) 795-0202
(713) 799-8290
Mailing address
7515 S. MAIN ST. SUITE 740, TEXAS ONCOLOGY, HOUSTON, TX 77030
(713) 795-0202
(713) 799-8290
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E7628
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101150401
—
TX
05
—
101150403
—
TX
05
—
101150404
—
TX
05
—
101150405
—
TX
05
—
101150406
—
TX
05
—
101150407
—
TX
Enumeration date
10/05/2006
Last updated
12/12/2016
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