Individual
DR. JAMES F. JACKSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
855 PROTON RD, SAN ANTONIO, TX 78258-4203
(210) 614-1234
(210) 614-0952
Mailing address
8415 DATAPOINT DR, SUITE 1000, SAN ANTONIO, TX 78229-3298
(210) 614-1234
(210) 614-7749
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
M5774
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189168101
—
TX
01
—
8J8384
BCBS
TX
Enumeration date
06/23/2006
Last updated
03/17/2018
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