Thomas Jackson, M.D.
Anesthesiology in West Hollywood, CA. Individual provider (NPI-1).
NPI number1750737128
StatusActive
Last updated in NPPESJun 18, 2020
Details
- NPI
- 1750737128
- Entity type
- Individual (NPI-1)
- Name
- Thomas Jackson
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 4, 2016
- Certification date
- Jun 18, 2020
- Last updated
- Jun 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | BP10057130 | TX | Yes |
Practice location
8700 Beverly BlvdWest Hollywood, CA 90048-1804
Phone 310-423-1682
Mailing address
8700 Beverly BlvdWest Hollywood, CA 90048-1804
Phone 310-423-1682 · Fax 409-772-1224
Other practice locations
301 University Blvd
Galveston, TX 77555-0877
Galveston, TX 77555-0877
Phone 409-772-1221 · Fax 409-772-1224
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