Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN RICHARD JACKSON, M.D.
Active Sole ProprietorJOHN RICHARD JACKSON, M.D. is a Family Medicine healthcare provider located in SAN MARCOS, Texas. NPI 1457350902 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SAN MARCOS, TX
Registration Details
- NPI Number
- 1457350902
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 18, 2005 (21.043780130491 yrs)
- Last Updated
- Jan 24, 2022
- Licenses
-
056102 (GA)E8587 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1290 WONDER WORLD DR STE 1100SAN MARCOS, TX, 786667969Browse TX providers · Browse ZIP 78666
- Phone
- 5123933325
- Fax
- 5123933328
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in SAN MARCOS, TX
| Name | Credential | NPI |
|---|---|---|
| JENNIFER MARSHALL DRISKELL | MD | 1386634657 |
| GREGORY L COLON | MD | 1972594141 |
| JACK WESLEY WALLIS | MD | 1962484733 |
| RONALD RAY MCHOSE | D.O. | 1689645368 |
| DR. MARK B RANDOLPH | MD | 1982677209 |
| JACQUELINE SUE LIVINGSTON | DO | 1326004912 |
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.