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Michael Jackson, M.D
NPI 1053467902 · on the registry since 2007
Practice
- Address
- 103 N First St
Rockwall, TX 75087 - Phone
- (972) 771-5366
- Fax
- (972) 771-0424
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Also registered as
- Family Medicine Physician
- Licence states on file
- OK, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-09-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas