Search › Texas › 207R00000X
Penelope Jackson, M.D
NPI 1548240682 · on the registry since 2006
Practice
- Address
- 2005 Rockview Drive
Granbury, TX 76049 - Phone
- (817) 579-1005
- Fax
- (817) 579-1093
- Organisation at this address
- Lake Granbury Internal Medicine & Pediatrics, Pa
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-03-18
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