Lance Elliot Jackson in San Antonio - Otology & Neurotology
Lance Elliot Jackson - NPI 1174554521
Lance Elliot Jackson is a Otology & Neurotology in San Antonio, Texas. Lance Elliot Jackson practices all healthcare services and medical treatments related to Otology & Neurotology. The NPI Number for Lance Elliot Jackson is 1174554521. The last update date is 2013-01-25.
Lance Elliot Jackson's current location address is 18518 Hardy Oak, San Antonio, Texas. You can contact this provider via phone number 2106964327 and fax number 2107982509. The mailing address for Lance Elliot Jackson is 18518 Hardy Oak, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lance Elliot Jackson |
|---|---|
| Address | 18518 Hardy Oak, San Antonio, Texas |
| Phone Number | 2106964327 |
| Fax Number | 2107982509 |
| Sole Proprietor | N |
| Credentials | M.D., F.A. |
NPI Number Detail
| NPI Number | 1174554521 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2013-01-25 |
Provider Mailing Address Detail
| Address | 18518 Hardy Oak |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782584271 |
| Phone Number | 2106964327 |
| Fax Number | 2107982509 |
Provider's Primary Taxonomy Detail
| Speciality | Otology & Neurotology |
|---|---|
| Taxonomy | 207Yx0901X |
| Licence No | L5777 |
|
Definition: An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiolog |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00019999 | TX | RAILROAD MEDICARE | |
| 157518501 | TX | -- | |
| 7047136 | TX | AETNA | |
| 8H5000 | TX | BLUE SHIELD | |
| MDL5777 | TX | WORKERS COMP |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Lance Elliot Jackson by the Centers for Medicare & Medicaid Services?
The Lance Elliot Jackson has been issued the NPI (National Provider Identifier) 1174554521 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Lance Elliot Jackson is physically located?
The Lance Elliot Jackson is situated at the following address: 18518 Hardy Oak, San Antonio, TX 782584271.
What is Lance Elliot Jackson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lance Elliot Jackson is Otology & Neurotology, and the corresponding taxonomy classification code for this specialized field is 207Yx0901X.
On what date did the Lance Elliot Jackson receive the assignment of its 1174554521 from the Centers for Medicare & Medicaid Services?
The Lance Elliot Jackson was issued its 1174554521 by the Centers for Medicare & Medicaid Services on 2006-07-05.
As of what date were the details related to Lance Elliot Jackson most recently updated or revised?
The information pertaining to Lance Elliot Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2013-01-25.