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

DR. LANCE ELLIOT JACKSON, M.D., F.A.C.S.

Active

Otolaryngic Allergy · SAN ANTONIO, TX

Registration Details

NPI Number
1174554521
Provider Type
Individual
Gender
Male
NPI Issued
Jul 5, 2006 (19.838298652835 yrs)
Last Updated
Jan 25, 2013
Licenses
L5777 (TX)
L5777 (TX)
L5777 (TX)
L5777 (TX)

Practice Information

Address
18518 HARDY OAK
SUITE 300
SAN ANTONIO, TX, 782584271
Browse TX providers · Browse ZIP 78258
Phone
2106964327
Fax
2107982509
Primary Specialty
Otolaryngic Allergy
207YX0901X
Additional Specialty
Otolaryngic Allergy
Additional Specialty
Otolaryngology
Additional Specialty
Otology & Neurotology

Other Otolaryngic Allergy Providers in SAN ANTONIO, TX

Name Credential NPI
MR. CARLOS ROBERT ESQUIVEL M.D. 1831137173
MR. CHARLES AUGUSTINE SYMS III M.D. 1902844202
MRS. SUSAN MARENDA KING M.D. 1396783528
DR. WESLEY WILLIAM KRUEGER M.D., F.A.C.S. 1740211192
MARIA GERALDINE ZUNIGA MANRIQUE M.D. 1215370077
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.