John Daniel Jackman in Tyler - Interventional Cardiology
John Daniel Jackman - NPI 1407841646
John Daniel Jackman is a Interventional Cardiology in Tyler, Texas. John Daniel Jackman practices all healthcare services and medical treatments related to Interventional Cardiology. The NPI Number for John Daniel Jackman is 1407841646. The last update date is 2008-02-27.
John Daniel Jackman's current location address is 619 S Fleishel Ave, Tyler, Texas. You can contact this provider via phone number 9035955514. The mailing address for John Daniel Jackman is 619 S Fleishel Ave, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Daniel Jackman |
|---|---|
| Address | 619 S Fleishel Ave, Tyler, Texas |
| Phone Number | 9035955514 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1407841646 |
|---|---|
| Provider Enumeration Date | 2005-09-14 |
| Last Updated Date | 2008-02-27 |
Provider Mailing Address Detail
| Address | 619 S Fleishel Ave |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757012004 |
| Phone Number | 9035955514 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Interventional Cardiology |
|---|---|
| Taxonomy | 207Ri0011X |
| Licence No | H1109 |
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Definition: An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medicat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4533990 | TX | AETNA | |
| 89423J | TX | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to John Daniel Jackman by the Centers for Medicare & Medicaid Services?
The John Daniel Jackman has been assigned the NPI (National Provider Identifier) 1407841646 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of John Daniel Jackman?
The John Daniel Jackman is physically situated at 619 S Fleishel Ave, in the city of Tyler, state of TX, with the postal code 757012004.
What is John Daniel Jackman's area of expertise and its corresponding taxonomy classification?
The John Daniel Jackman's field of specialization is Interventional Cardiology, and it falls under the taxonomy code 207Ri0011X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1407841646 assigned to John Daniel Jackman?
The John Daniel Jackman was issued its 1407841646 on 2005-09-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to John Daniel Jackman most recently updated or revised?
The details related to John Daniel Jackman, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-27.