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J. DON JACKSON JR MD PA NPI 1922150663


NPI Information

NPI: 1922150663
Provider Name: J. DON JACKSON JR, MD, PA

Other Name: ADVANCED SURGERY

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
300 WILLOW CREEK PKWY
SUITE 200 A
PALESTINE, TX
ZIP 75801
Phone: (903) 723-8210
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J. DON JACKSON JR, MD, PA is a surgery in Palestine, TX. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. J. DON JACKSON JR, MD, PA NPI is 1922150663. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Advanced Surgery.

The provider's business location address is:

300 WILLOW CREEK PKWY
SUITE 200 A
PALESTINE, TX
ZIP 75801-421
Phone: (903) 723-8210
Fax: (903) 723-8310

The provider's authorized official is James Don Jackson .
The authorized official title is Physician and has the following contact phone number (903) 723-8210.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 10/4/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F45151MEDICARE UPINTEXAS
200252ZMEDICARE PINTEXAS
3178962001MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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