Michael Ray Jackson in Rockwall - Family Medicine
Michael Ray Jackson - NPI 1053467902
Michael Ray Jackson is a Family Medicine in Rockwall, Texas. Michael Ray Jackson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Michael Ray Jackson is 1053467902. The last update date is 2012-09-12.
Michael Ray Jackson's current location address is 103 N First St, Rockwall, Texas. You can contact this provider via phone number 9727715366 and fax number 9727710424. The mailing address for Michael Ray Jackson is 103 N First St, Rockwall, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Ray Jackson |
|---|---|
| Address | 103 N First St, Rockwall, Texas |
| Phone Number | 9727715366 |
| Fax Number | 9727710424 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1053467902 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2012-09-12 |
Provider Mailing Address Detail
| Address | 103 N First St |
|---|---|
| City | Rockwall |
| State | Texas (TX) |
| Post Code | 750873033 |
| Phone Number | 9727715366 |
| Fax Number | 9727710424 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 19730 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique identification code assigned to Michael Ray Jackson by the Centers for Medicare & Medicaid Services?
The Michael Ray Jackson has been issued the NPI (National Provider Identifier) 1053467902. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Michael Ray Jackson's physical address?
The Michael Ray Jackson is physically located at 103 N First St, in the city of Rockwall, TX, with the postal code 750873033.
What is Michael Ray Jackson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Michael Ray Jackson's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
When did the Michael Ray Jackson receive its 1053467902?
The Michael Ray Jackson was issued its 1053467902 on 2007-01-25, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Michael Ray Jackson most recently updated or revised?
The details related to Michael Ray Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2012-09-12.
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