Organization
RICHARD G. JAECKLE, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD G JAECKLE (PRESIDENT)
(214) 696-0964
Entity
Organization
Contact information
Practice address
8220 WALNUT HILL LN, SUITE 404, DALLAS, TX 75231-4427
(214) 696-0964
(214) 696-1094
Mailing address
8220 WALNUT HILL LN, SUITE 404, DALLAS, TX 75231-4427
(214) 696-0964
(214) 696-1094
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C9022
TX
Other
Enumeration date
08/18/2006
Last updated
08/22/2020
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