Individual
DR. ROSEANNA JACKSON-PAREKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 W 45TH ST, AUSTIN, TX 78751-2800
(512) 555-1234
Mailing address
PO BOX 161242, AUSTIN, TX 78716-1242
(512) 800-3187
(512) 292-4458
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
N0126
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8BR430
BCBS
TX
Enumeration date
07/04/2008
Last updated
07/31/2025
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