Randy Alan Jackson M.D.

  • NPI 1689832768
According to our database, the NPI number for Randy Alan Jackson M.D. is 1689832768 and activated since 15 years ago. Randy Alan Jackson M.D. is an individual provider who specializes in Internal Medicine, and the primary practice location is 2602 Saint Michael Dr, Texarkana, TX 75503. You can also contact Randy Alan Jackson M.D. via telephone number is (903) 614-5111. Provider NPI information was last updated on 05/26/2009.

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Overview of Randy Alan Jackson M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 05/27/2008
  • Last updated: 05/26/2009

Primary Scrop of Practice

  • Taxonomy Code: 207R00000X
  • Specialty: Internal Medicine
  • License Number: N0854
  • License State: TX

Provider Mailing Address

  • Address: 7203 Bringle Rdg
    Texarkana, TX 75503
  • Phone: 903-306-1185
  • Fax:

Provider Practice Location

  • Address: 2602 Saint Michael Dr
    Suite 205
    Texarkana, TX 75503
  • Phone: 903-614-5111
  • Fax:

Scope of Practice

  • Taxonomy Code: 207R00000X
  • Specialty: Internal Medicine
  • License Number: N0854
  • License State: TX
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 176329001
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: AR
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Randy Alan Jackson M.D.?
  • A: The npi number for Randy Alan Jackson M.D. is 1689832768.
  • Q: What are Randy Alan Jackson M.D.'s specialties?
  • A: Randy Alan Jackson M.D.'s specialties are Internal Medicine and different specialities.
  • Q: What is the medical license for Randy Alan Jackson M.D.?
  • A: The medical license number for Randy Alan Jackson M.D. is N0854 and issued in TX in USA.
  • Q: Where is Randy Alan Jackson M.D. practice location?
  • A: Randy Alan Jackson M.D. is practicing at 2602 Saint Michael Dr, Texarkana, TX 75503.
  • Q: How to contact Randy Alan Jackson M.D.?
  • A: You can contact Randy Alan Jackson M.D. via 903-614-5111.