Phillip Jackson M.D.

NPI 1023088895 - Family Medicine - 207Q00000X

NPI Details
NPI 1023088895
Gender Male
Enumeration Date 01/25/2006
Last Updated 08/02/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
4609 SCHWERIN LAKE DR
CORPUS CHRISTI TX, 78413-5255, US
Phone (361) 808-9383
Fax (361) 808-9383
Business Location
4609 SCHWERIN LAKE DR
CORPUS CHRISTI TX, 78413-5255, US
Phone (361) 808-9383
Fax (361) 808-9383
Toxanomy
Taxonomy Code 207Q00000X
License State Texas
License Number J4864
Remove 1023088895 NPI Number
 

According to our database, Dr. Phillip Jackson M.D. NPI is 1023088895, taxonomy code is 207Q00000X and license number is J4864, license state is located at Texas. Phillip Jackson M.D. physically located at 4609 Schwerin Lake Dr, Corpus Christi TX, 78413-5255. NPI Number Phillip Jackson M.D. has the Individual type.

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1023088895 NPI number is provided on an as is basis without warranty of any kind. 1023088895 is maintained by the National Plan & Provider Enumeration System. The contents of Phillip Jackson M.D. are for informational purposes only.