James M. Jackson, MD
Emergency Medicine, Emergency Medical Services in Austin, TX. Individual provider (NPI-1).
NPI number1528001237
StatusActive
Last updated in NPPESMay 13, 2010
Details
- NPI
- 1528001237
- Entity type
- Individual (NPI-1)
- Name
- James M. Jackson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 13, 2006
- Last updated
- May 13, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207PE0004X | Emergency Medicine, Emergency Medical Services | H4436 | TX | Yes |
| 207P00000X | Emergency Medicine | H4436 | TX |
Practice location
12221 North Mopac ExpresswayAustin, TX 78758
Phone 512-901-1000
Mailing address
1400 Winsted LnAustin, TX 78703-3852
Phone 512-477-5645
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