Timothy A Jackson, MD PHD | |
1515 Holcombe Blvd, Houston, TX 77030-4009 | |
(713) 792-6161 | |
Not Available |
Full Name | Timothy A Jackson |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 24 Years |
Location | 1515 Holcombe Blvd, Houston, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750477790 | NPI | - | NPPES |
8U3430 | Other | TX | BCBS |
P00317070 | Other | TX | RR MEDICARE |
176976201 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | M1160 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physicians Referral Service | 7911801410 | 2406 |
Entity Name | Physicians Referral Service |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073574810 PECOS PAC ID: 7911801410 Enrollment ID: O20031125000953 |
Mailing Address | Practice Location Address |
---|---|
Timothy A Jackson, MD PHD Po Box 4439, Houston, TX 77210-4439 Ph: (713) 792-2991 | Timothy A Jackson, MD PHD 1515 Holcombe Blvd, Houston, TX 77030-4009 Ph: (713) 792-6161 |
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