Mark Jackson in Fort Worth - Physician Assistant
Mark Jackson - NPI 1922099977
Mark Jackson is a Physician Assistant in Fort Worth, Texas. Mark Jackson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mark Jackson is 1922099977. The last update date is 2020-10-19.
Mark Jackson's current location address is 6100 Harris Pkwy Ste 1200, Fort Worth, Texas. You can contact this provider via phone number 8172633724. The mailing address for Mark Jackson is 6100 Harris Pkwy Ste 1200, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Jackson |
|---|---|
| Address | 6100 Harris Pkwy Ste 1200, Fort Worth, Texas |
| Phone Number | 8172633724 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A.-C |
NPI Number Detail
| NPI Number | 1922099977 |
|---|---|
| Provider Enumeration Date | 2005-10-31 |
| Last Updated Date | 2020-10-19 |
Provider Mailing Address Detail
| Address | 6100 Harris Pkwy Ste 1200 |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761326107 |
| Phone Number | 8172633724 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA00410 |
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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 |
|---|---|---|---|
| 285691602 | TX | -- | |
| 285691601 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mark Jackson by the Centers for Medicare & Medicaid Services?
The Mark Jackson has been issued the NPI (National Provider Identifier) 1922099977, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Mark Jackson is physically located?
The Mark Jackson is physically situated at the following address: 6100 Harris Pkwy Ste 1200, Fort Worth, TX, 761326107.
What is the Mark Jackson's area of specialization and corresponding taxonomy classification?
The Mark Jackson's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
What is Mark Jackson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mark Jackson is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Mark Jackson receive its 1922099977 assignment from the Centers for Medicare & Medicaid Services?
The Mark Jackson was assigned its 1922099977 by the Centers for Medicare & Medicaid Services on 2005-10-31.