Individual
DR. JACKSON TODD ACHILLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2018 PULLIAM ST, SAN ANGELO, TX 76905-5148
(325) 658-6138
Mailing address
2018 PULLIAM ST, SAN ANGELO, TX 76905-5148
(325) 658-6138
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E8280
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123191205
—
TX
01
—
E8280
MEDICAL LICENSE
TX
Enumeration date
06/24/2006
Last updated
04/05/2017
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