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Richard Jackson, MD0416
Student in an Organized Health Care Education/Training Program in Lubbock, Texas
NPI 1043480007

Richard Jackson is a Student in an Organized Health Care Education/Training Program based in Lubbock, TX. Richard Jackson practices in Lubbock, TX and has the professional credentials of MD0416. The NPI Number for Richard Jackson is 1043480007 and holds a License No. (Texas).

The current practice location address for Richard Jackson is 3601 4Th St, Lubbock, TX and can be reached out via phone at 806-743-2800.

Location: 3601 4Th St, Lubbock, TX, 79430-0002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043480007
Provider Name
Richard Jackson
Credential
MD0416
Provider Entity Type
Individual
Gender
Male
Address
3601 4Th St, Lubbock, TX, 79430-0002
Phone Number
806-743-2800
Fax Number
Provider Enumeration Date
03/06/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3601 4Th St
City
Lubbock
State
Texas
Zip
79430-0002
Phone Number
806-743-2800
Fax Number
person
Provider Business Mailing Address Details
Address
3601 4Th St
City
Lubbock
State
Texas
Zip
79430-0002
Phone Number
806-743-2800
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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