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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GREG L JACKSON

Active Organization

GREG L JACKSON is a Parenteral & Enteral Nutrition (DME) organization located in ADDISON, Texas. NPI 1063580843 is currently active in the NPPES registry. Verify at CMS.

Parenteral & Enteral Nutrition (DME) · ADDISON, TX

Registration Details

NPI Number
1063580843
Provider Type
Organization
NPI Issued
Dec 1, 2006 (19.73712418144 yrs)
Last Updated
Oct 24, 2018

Practice Information

Address
4386 SUNBELT DR
ADDISON, TX, 75001
Browse TX providers · Browse ZIP 75001
Phone
9723802065
Fax
9723809488
Primary Specialty
Parenteral & Enteral Nutrition (DME)
332BP3500X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.