Dr Victor S Jackson, MD | |
1701 23rd St, Galveston, TX 77550-7901 | |
(409) 539-5312 | |
(409) 207-5016 |
Full Name | Dr Victor S Jackson |
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Gender | Male |
Speciality | Internal Medicine |
Location | 1701 23rd St, Galveston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679969877 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | R5745 (Texas) | Primary |
Entity Name | Utmb Faculty Group Practice |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
Mailing Address | Practice Location Address |
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Dr Victor S Jackson, MD 5826 Broadway St Ste 3734, Galveston, TX 77551-4385 Ph: (409) 539-5312 | Dr Victor S Jackson, MD 1701 23rd St, Galveston, TX 77550-7901 Ph: (409) 539-5312 |
Dr. James Harold Pavela, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-7063 Fax: 409-747-8579 | |
Diaa Hamouda, MBBCH Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Jsa 9.128, Galveston, TX 77555 Phone: 409-772-8031 Fax: 409-772-6940 | |
Syed Mustajab Hasan, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1005 Harborside Drive, Galveston, TX 77555 Phone: 409-762-2328 Fax: 832-632-7866 | |
Arielle Degueure, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-747-1883 Fax: 409-747-8579 | |
Olivia C Arriaza, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-747-1883 Fax: 409-747-8579 | |
Dr. Shawn Pua Eiko Nishi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-643-4587 | |
Suyuan Tan, Internal Medicine Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-747-1883 |