Richard J. Jackson, MD
Pediatric Surgery Physician · Temple, TX
Practice location
1901 SW H K Dodgen LoopTemple, TX 76502-3500
- Phone
- (254) 935-4000
- Fax
- (254) 935-4111
NPI record
- NPI
- 1215027883
- Entity type
- Individual (Type 1)
- Enumeration date
- October 13, 2006
- Last updated
- June 8, 2021
- Certified
- June 8, 2021
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatric Surgery Physician Primary | 2086S0120X |
N3094 | TX |
| Pediatric Surgery Physician | 2086S0120X |
N-8271 | AR |
Mailing address
PO Box 844658Dallas, TX 75284-4658
- Phone
- (254) 724-2111
About Dr. Jackson
Richard J. Jackson, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Surgery Physician (code 2086S0120X). The practice location is 1901 SW H K Dodgen Loop, Temple, TX 76502-3500. The NPI number 1215027883 was assigned on October 13, 2006 and the record was last updated on June 8, 2021.
Dr. Jackson lists 2 licenses in the registry: #N3094 (TX) for Pediatric Surgery Physician; #N-8271 (AR) for Pediatric Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Richard J. Jackson, MD?
The NPI number is 1215027883.
What is the phone number of Dr. Jackson?
The phone number listed for the practice location is (254) 935-4000.
Where is Dr. Jackson located?
1901 SW H K Dodgen Loop, Temple, TX 76502-3500.
What is the taxonomy code for Dr. Jackson?
The primary taxonomy code is 2086S0120X – Pediatric Surgery Physician; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Pediatric Surgery Physician providers in Temple
- John W. Fitzwater, M.D.1901 SW H K Dodgen Loop Bldg 300
- Kelly Dawn Mattix, MD1901 SW H K Dodgen Loop
- Danny Carlton Little, MD2401 S 31st St
- Hayden Wilson Stagg, M.D.1901 SW H K Dodgen Loop
- Hale Edward Wills, M.D.1901 SW H K Dodgen Loop