Stephen J Jackson
Internist Emergency Medical Services
4716 S 14th St
Abilene
, Texas 79605-4733
Stephen J Jackson
Internist Emergency Medical Services
4716 S 14th St
Abilene
, Texas 79605-4733
(866) 321-8433
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About
Features
Specialties
- Emergency Medical Services
- Internist
Languages spoken
- English
Location
First Address
- Stephen J Jackson
- 4716 S 14th St
- Abilene, TX
- Zip : 79605-4733
- Phone : (866) 321-8433
Second Address
- Stephen J Jackson
- 4716 S 14th St
- Abilene, TX
- Zip : 79605-4733
- Fax : (325) 701-9970
- Phone : (325) 232-8668
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207PE0004X | Emergency Medical Services | F4113 | TX |
| Y | 207R00000X | Internist | F4113 | TX |
| Y | 111NI0900X | Internist | F4113 | TX |
National Provider Identifier
| NPI | 1164411013 |
|---|---|
| Provider Name | Stephen J Jackson |
| First Address | Abilene, TX 79605-4733 |
| Second Address | Abilene, TX 79605-4733 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/10/2005 |
| Last Update Date | 13/11/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A73201 | (02) |
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.