Robert E Jackson III
Nuclear Medicine Specialist
1901 Port Ln
Amarillo
, Texas 79106-2430
Robert E Jackson III
Nuclear Medicine Specialist
1901 Port Ln
Amarillo
, Texas 79106-2430
(806) 358-6726
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About
Features
Specialties
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- Robert E Jackson III
- Po Box 3856
- Amarillo, TX
- Zip : 79116-3856
- Fax : (806) 358-6726
- Phone : (806) 358-4596
Second Address
- Robert E Jackson III
- 1901 Port Ln
- Amarillo, TX
- Zip : 79106-2430
- Fax : (806) 358-6726
- Phone : (806) 358-4596
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207U00000X | Nuclear Medicine Specialist | E4425 | TX |
National Provider Identifier
| NPI | 1659348555 |
|---|---|
| Provider Name | Robert E Jackson III |
| First Address | Amarillo, TX 79116-3856 |
| Second Address | Amarillo, TX 79106-2430 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/03/2006 |
| Last Update Date | 30/10/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E09449 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.