Individual
RICHARD H JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8230 WALNUT HILL LN, STE 220, DALLAS, TX 75231-4482
(214) 750-3646
(214) 265-9378
Mailing address
8230 WALNUT HILL LN, STE 220, DALLAS, TX 75231-4482
(214) 750-3646
(214) 265-9378
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G1682
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104146902
—
TX
Enumeration date
09/27/2005
Last updated
06/24/2014
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