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Richard J Jackson, MD
Pediatric Surgery Physician in Temple, Texas
NPI 1215027883

Richard J Jackson is a Pediatric Surgery Physician based in Dallas, TX and is specialized in Pediatric Surgery. Richard J Jackson practices in Temple, TX and has the professional credentials of MD. The NPI Number for Richard J Jackson is 1215027883 and holds a License No. N-8271 (Texas).

The current practice location address for Richard J Jackson is 1901 Sw H K Dodgen Loop, Temple, TX and can be reached out via phone at 254-935-4000 and via fax at 254-935-4111.

Location: 1901 Sw H K Dodgen Loop, Temple, TX, 75284-4658
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215027883
Provider Name
Richard J Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1901 Sw H K Dodgen Loop, Temple, TX, 75284-4658
Phone Number
254-935-4000
Fax Number
254-935-4111
Provider Enumeration Date
10/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
125912907 05 TX
137345810 05 TX
140442852 05 TX
121627001 05 AR
125912908 05 TX
institution
Provider Business Practice Location Address Details
Address
1901 Sw H K Dodgen Loop
City
Temple
State
Texas
Zip
76502-3500
Phone Number
254-935-4000
Fax Number
254-935-4111
person
Provider Business Mailing Address Details
Address
1901 Sw H K Dodgen Loop
City
Temple
State
Texas
Zip
76502-3500
Phone Number
254-935-4000
Fax Number
254-935-4111
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Pediatric Surgery
Taxonomy
2086S0120X
License No.
N-8271 (Arkansas)
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
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