Individual
DR. JAMES JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2409 FALCON PASS DR STE 100, HOUSTON, TX 77062-6276
(713) 557-0559
(281) 461-6860
Mailing address
2409 FALCON PASS DR STE 100, HOUSTON, TX 77062-6276
(281) 461-1111
(281) 461-6860
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J5166
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134717110
—
TX
05
—
167947401
—
TX
01
—
89132Y
BCBS
TX
Enumeration date
07/21/2006
Last updated
11/05/2021
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