Individual
DR. JAMES STUART JACKSON
Active
Individual
DR. JAMES STUART JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H7563
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050041688
RAILROAD - MEDICARE
TX
05
—
109685101
—
TX
05
—
132383407
—
TX
01
—
84Y564
TX-BLUE SHIELD
—
01
—
8AW305
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/11/2007
Last updated
05/14/2020
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