Richard Jackson in Lubbock - Student In An Organized Health Care Education/training Program
Richard Jackson - NPI 1043480007
Richard Jackson is a Student In An Organized Health Care Education/training Program in Lubbock, Texas. Richard Jackson practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Richard Jackson is 1043480007. The last update date is 2008-03-06.
Richard Jackson's current location address is 3601 4th St, Lubbock, Texas. You can contact this provider via phone number 8067432800. The mailing address for Richard Jackson is 3601 4th St, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Jackson |
|---|---|
| Address | 3601 4th St, Lubbock, Texas |
| Phone Number | 8067432800 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD0416 |
NPI Number Detail
| NPI Number | 1043480007 |
|---|---|
| Provider Enumeration Date | 2008-03-06 |
| Last Updated Date | 2008-03-06 |
Provider Mailing Address Detail
| Address | 3601 4th St |
|---|---|
| City | Lubbock |
| State | Texas (TX) |
| Post Code | 794300002 |
| Phone Number | 8067432800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Student In An Organized Health Care Education/training Program |
|---|---|
| Taxonomy | 390200000X |
|
Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
|
Post Comment/ Review Below
What is the unique identifier code issued to Richard Jackson by the Centers for Medicare & Medicaid Services?
The Richard Jackson has been assigned the NPI (National Provider Identifier) 1043480007. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Richard Jackson is physically located?
The Richard Jackson is physically situated at the following address: 3601 4Th St, Lubbock, TX, 794300002.
What is the Richard Jackson's specialty and taxonomy code?
The Richard Jackson's specialty is Student In An Organized Health Care Education/training Program, and the corresponding taxonomy code is 390200000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1043480007 to Richard Jackson?
The Centers for Medicare & Medicaid Services originally issued the 1043480007 to Richard Jackson on 2008-03-06.
When was the information pertaining to Richard Jackson most recently updated or revised?
The details related to Richard Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2008-03-06.