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Dr. Lance Elliot Jackson, MD,FACS
Otolaryngic Allergy Physician in San Antonio, Texas
NPI 1174554521

Lance Elliot Jackson is a Otolaryngic Allergy Physician based in San Antonio, TX and is specialized in Otolaryngic Allergy. Lance Elliot Jackson practices in San Antonio, TX and has the professional credentials of MD,FACS. The NPI Number for Lance Elliot Jackson is 1174554521 and holds a License No. L5777 (Texas).

The current practice location address for Lance Elliot Jackson is 18518 Hardy Oak, San Antonio, TX and can be reached out via phone at 210-696-4327 and via fax at 210-798-2509.

Location: 18518 Hardy Oak, San Antonio, TX, 78258-4271
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174554521
Provider Name
Lance Elliot Jackson
Credential
MD,FACS
Provider Entity Type
Individual
Gender
Male
Address
18518 Hardy Oak, San Antonio, TX, 78258-4271
Phone Number
210-696-4327
Fax Number
210-798-2509
Provider Enumeration Date
07/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00019999 01 TX RAILROAD MEDICARE
157518501 05 TX
7047136 01 TX AETNA
8H5000 01 TX BLUE SHIELD
MDL5777 01 TX WORKERS COMP
institution
Provider Business Practice Location Address Details
Address
18518 Hardy Oak
City
San Antonio
State
Texas
Zip
78258-4271
Phone Number
210-696-4327
Fax Number
210-798-2509
person
Provider Business Mailing Address Details
Address
18518 Hardy Oak
City
San Antonio
State
Texas
Zip
78258-4271
Phone Number
210-696-4327
Fax Number
210-798-2509
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
L5777 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
L5777 (Texas)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngic Allergy
Taxonomy
207YX0602X
License No.
L5777 (Texas)
Definition
An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otology & Neurotology
Taxonomy
207YX0901X
License No.
L5777 (Texas)
Definition
An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.
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