Individual
DR. LUKE BRENDON JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-5910
(210) 916-2077
Mailing address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-5554
(210) 916-5900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101276933
VA
207RI0200X
Infectious Disease Physician
Primary
0101276933
VA
Other
Enumeration date
02/28/2021
Last updated
04/12/2026
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