Individual
JOSEPH JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3300 OAK LAWN AVE, SUITE 200, DALLAS, TX 75219-4236
(214) 252-3500
Mailing address
3300 OAK LAWN AVE, SUITE 200, DALLAS, TX 75219-4236
(214) 252-3500
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
BP20029640
TX
Other
Enumeration date
06/27/2008
Last updated
04/11/2012
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