Individual
ROBERT E JACKSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 PORT LN, AMARILLO, TX 79106-2430
(806) 358-4596
(806) 358-6726
Mailing address
PO BOX 3856, AMARILLO, TX 79116-3856
(806) 358-4596
(806) 358-6726
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
E4425
TX
Other
Enumeration date
03/01/2006
Last updated
10/30/2013
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