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Randy Jackson, M.D
NPI 1689832768 · on the registry since 2008
Practice
- Address
- 2602 Saint Michael Dr
Suite 205
Texarkana, TX 75503 - Phone
- (903) 614-5111
- Organisation at this address
- Christus Health Ark-La-Tex
Independent Anesthesia Of Texarkana, L.L.PInferred from a shared address, not stated in the registry. - Clinicians at this address
- 28
Registry record
- Primary taxonomy
- Internal Medicine Physician
207R00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-05-26
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