Individual
AUSTIN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 4TH ST STOP 8143, LUBBOCK, TX 79430-8143
(806) 743-6130
Mailing address
3601 4TH ST STOP 8143, LUBBOCK, TX 79430-8143
(806) 743-6130
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TX
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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