Vadean L. Jackson in San Antonio - Family Medicine
Vadean L. Jackson - NPI 1699875336
Vadean L. Jackson is a Family Medicine in San Antonio, Texas. Vadean L. Jackson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Vadean L. Jackson is 1699875336. The last update date is 2016-10-17.
Vadean L. Jackson's current location address is 4438 Centerview, San Antonio, Texas. You can contact this provider via phone number 2102800040 and fax number 2102800060. The mailing address for Vadean L. Jackson is 4438 Centerview, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Vadean L. Jackson |
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Address | 4438 Centerview, San Antonio, Texas |
Phone Number | 2102800040 |
Fax Number | 2102800060 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1699875336 |
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Provider Enumeration Date | 2006-09-23 |
Last Updated Date | 2016-10-17 |
Provider Mailing Address Detail
Address | 4438 Centerview |
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City | San Antonio |
State | Texas (TX) |
Post Code | 782281440 |
Phone Number | 2102800040 |
Fax Number | 2102800060 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | M4199 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
192732902 | TX | WELLMED MEDICAID | |
TXB153202 | TX | WELLMED MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Vadean L. Jackson by the Centers for Medicare & Medicaid Services?
The Vadean L. Jackson has been assigned the NPI (National Provider Identifier) 1699875336 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Vadean L. Jackson is physically located?
The Vadean L. Jackson is situated at the following address: 4438 Centerview, San Antonio, TX 782281440.
What is Vadean L. Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Vadean L. Jackson is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did Vadean L. Jackson receive its 1699875336 assignment from the Centers for Medicare & Medicaid Services?
The Vadean L. Jackson was assigned its 1699875336 on 2006-09-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Vadean L. Jackson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Vadean L. Jackson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-10-17.