Individual
NEIL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75390-4418
(214) 645-9729
(405) 979-8416
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(405) 949-3284
(405) 979-8416
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10056521
TX
2085R0202X
Diagnostic Radiology Physician
Primary
T2402
TX
Other
Enumeration date
05/19/2016
Last updated
03/15/2022
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