Individual
DR. TIFFANY R JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7217 TELECOM PARKWAY, SUITE 290, GARLAND, TX 75044
(469) 800-2240
(469) 800-2251
Mailing address
7217 TELECOM PARKWAY, SUITE 290, GARLAND, TX 75044
(469) 800-2240
(469) 800-2251
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
ME109226
FL
207VG0400X
Gynecology Physician
Primary
P5385
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3264939-01
—
TX
Enumeration date
08/05/2007
Last updated
07/05/2023
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