Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD J JACKSON, MD
ActiveRICHARD J JACKSON, MD is a Pediatric Surgery healthcare provider located in TEMPLE, Texas. NPI 1215027883 is currently active in the NPPES registry. Verify at CMS.
Pediatric Surgery · TEMPLE, TX
Registration Details
- NPI Number
- 1215027883
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 13, 2006 (19.850335649051 yrs)
- Last Updated
- Jun 8, 2021
- Licenses
-
N-8271 (AR)N3094 (TX)
Practice Information
- Address
-
1901 SW H K DODGEN LOOPTEMPLE, TX, 765023500Browse TX providers · Browse ZIP 76502
- Phone
- 2549354000
- Fax
- 2549354111
- Primary Specialty
-
Pediatric Surgery
2086S0120X
- Additional Specialty
- Pediatric Surgery
Other Pediatric Surgery Providers in TEMPLE, TX
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT TODD MAXSON | M.D. | 1417973926 |
| DR. DANNY CARLTON LITTLE | MD | 1235261181 |
| DR. HALE EDWARD WILLS | M.D. | 1669683850 |
| DR. KELLY DAWN MATTIX | MD | 1063685956 |
| DR. JOHN W FITZWATER | M.D. | 1013144245 |
| DR. HAYDEN WILSON STAGG | M.D. | 1316231475 |
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.