John Richard Jackson in San Marcos - Family Medicine
John Richard Jackson - NPI 1457350902
John Richard Jackson is a Family Medicine in San Marcos, Texas. John Richard Jackson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for John Richard Jackson is 1457350902. The last update date is 2022-01-24.
John Richard Jackson's current location address is 1290 Wonder World Dr Ste 1100, San Marcos, Texas. You can contact this provider via phone number 5123933325 and fax number 5123933328. The mailing address for John Richard Jackson is 1290 Wonder World Dr Ste 1100, San Marcos, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Richard Jackson |
|---|---|
| Address | 1290 Wonder World Dr Ste 1100, San Marcos, Texas |
| Phone Number | 5123933325 |
| Fax Number | 5123933328 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1457350902 |
|---|---|
| Provider Enumeration Date | 2005-07-18 |
| Last Updated Date | 2022-01-24 |
Provider Mailing Address Detail
| Address | 1290 Wonder World Dr Ste 1100 |
|---|---|
| City | San Marcos |
| State | Texas (TX) |
| Post Code | 786667969 |
| Phone Number | 5123933325 |
| Fax Number | 5123933328 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 56102 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 157509345A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to John Richard Jackson by the Centers for Medicare & Medicaid Services?
The John Richard Jackson has been assigned the NPI (National Provider Identifier) 1457350902 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the John Richard Jackson's physical address?
The John Richard Jackson is physically located at 1290 Wonder World Dr Ste 1100, in the city of San Marcos, TX, with the postal code 786667969.
What is John Richard Jackson's area of expertise and its corresponding taxonomy classification?
The John Richard Jackson's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1457350902 to John Richard Jackson?
The Centers for Medicare & Medicaid Services assigned the 1457350902 to John Richard Jackson on 2005-07-18.
As of what date were the details related to John Richard Jackson most recently updated or revised?
The information pertaining to John Richard Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2022-01-24.