Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK JACKSON, P.A.-C
ActivePhysician Assistant · FORT WORTH, TX
Registration Details
- NPI Number
- 1922099977
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 31, 2005 (20.476419720756 yrs)
- Last Updated
- Oct 19, 2020
- License
-
PA00410 (TX)
Practice Information
- Address
-
6100 HARRIS PKWY STE 1200FORT WORTH, TX, 761326107Browse TX providers · Browse ZIP 76132
- Phone
- 8172633724
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in FORT WORTH, TX
| Name | Credential | NPI |
|---|---|---|
| PAMELA JEAN PLAKE | P.A.-C | 1023018645 |
| MELISSA NEAL WRIGHT | PA-C | 1215937651 |
| LUCIANA ROCHETTI | PA-C | 1497747653 |
| LAURA J JONES | PA-C | 1881686939 |
| VICTOR LAMONT HOLMES | PA | 1194711747 |
| ANN CATHERINE TEAL | PA-C | 1679561914 |
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.