Organization Active NPI

Richard a. Jackson, M.D., PLLC

  • Primary Care Clinic/Center
  • Houston, TX
National Provider Identifier
1013307107
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
D8289 Issued in TX
Legal business name
RICHARD A. JACKSON, M.D., PLLC
Practice address
1200 Binz St Ste 1410
Houston, TX 77004-6948
Phone
(713) 400-9990
Fax
(713) 400-9988
NPI assigned
Jan 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Richard A. Jackson, M.D.
Title
Owner
Phone
(713) 400-9990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X D8289 TX Primary

Addresses

Primary practice location

1200 Binz St Ste 1410
Houston, TX 77004-6948

Mailing address

1200 Binz St Ste 1410
Houston, TX 77004-6948
Phone (713) 400-9990

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1013307107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BINZ ST STE 1410",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770046948",
            "telephone_number": "713-400-9990",
            "fax_number": "713-400-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BINZ ST STE 1410",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770046948",
            "telephone_number": "713-400-9990",
            "fax_number": "713-400-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A. JACKSON, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-400-9990",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "D8289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.