Individual
ROBERT M JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7800 N MOPAC EXPY, SUITE 315, AUSTIN, TX 78759-8900
(512) 459-4869
(512) 453-2795
Mailing address
7800 N MOPAC EXPY, SUITE 315, AUSTIN, TX 78759-8900
(512) 459-4869
(512) 453-2795
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G5206
TX
Other
Enumeration date
08/12/2005
Last updated
09/24/2012
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