Individual
JEFFREY ALLEN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13828 DRAKEWOOD DR, SUGAR LAND, TX 77498-2662
(713) 705-6972
Mailing address
13828 DRAKEWOOD DR, SUGAR LAND, TX 77498-2662
(713) 705-6972
(281) 494-6410
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
F5585
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128033105
—
TX
01
—
1821090697
BLUE CROSS BLUE SHIELD
TX
01
—
P00866614
MEDICARE RAILROAD
TX
01
—
P01031010
RR MEDICARE
TX
Enumeration date
08/11/2005
Last updated
04/04/2022
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