Terri D. Jackson in Dallas - Physician Assistant
Terri D. Jackson - NPI 1750381752
Terri D. Jackson is a Physician Assistant in Dallas, Texas. Terri D. Jackson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Terri D. Jackson is 1750381752. The last update date is 2009-09-03.
Terri D. Jackson's current location address is 3310 Live Oak St, Dallas, Texas. You can contact this provider via phone number 2142661257 and fax number 2142661258. The mailing address for Terri D. Jackson is 3310 Live Oak St, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terri D. Jackson |
|---|---|
| Address | 3310 Live Oak St, Dallas, Texas |
| Phone Number | 2142661257 |
| Fax Number | 2142661258 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1750381752 |
|---|---|
| Provider Enumeration Date | 2005-08-01 |
| Last Updated Date | 2009-09-03 |
Provider Mailing Address Detail
| Address | 3310 Live Oak St |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752046153 |
| Phone Number | 2142661257 |
| Fax Number | 2142661258 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA00941 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 179959501 | TX | -- | |
| 179959502 | TX | -- | |
| 8N4447 | TX | BLUE CROSS BLUE SHIELD | |
| P00051267 | TX | RAILROAD MEDICARE |
Post Comment/ Review Below
Could you provide the complete address where Terri D. Jackson is physically located?
The Terri D. Jackson is situated at the following address: 3310 Live Oak St, Dallas, TX 752046153.
Could you please share the complete physical location address where Terri D. Jackson's facilities are situated?
The facilities of Terri D. Jackson are physically located at the following address: 3310 Live Oak St, Dallas, TX, 752046153.
What is Terri D. Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Terri D. Jackson's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date was the 1750381752 assigned to Terri D. Jackson?
The Terri D. Jackson was issued its 1750381752 on 2005-08-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Terri D. Jackson most recently updated?
The details pertaining to the Terri D. Jackson, including its address, specialty, and other relevant information, were last refreshed on 2009-09-03.