Organization Active NPI

Sugar Land Neurology, PA

  • Neurology Physician
  • Sugar Land, TX
National Provider Identifier
1285846089
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
F5585 Issued in TX
Legal business name
SUGAR LAND NEUROLOGY, PA
Practice address
16659 Southwest Fwy
Suite 131
Sugar Land, TX 77479-2375
Phone
(281) 494-6387
Fax
(281) 494-6410
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Authorized official

Name
Dr. Jeffrey A. Jackson, M.D.
Title
President Owner
Phone
(281) 494-6387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X F5585 TX Primary

Addresses

Primary practice location

16659 Southwest Fwy
Suite 131
Sugar Land, TX 77479-2375

Mailing address

16659 Southwest Fwy
Suite 131
Sugar Land, TX 77479-2375
Phone (281) 494-6387

National Provider Directory

National Provider Directory

Locations

16659 Southwest Fwy
Ste 131
Sugar Land, TX 77479
Phone (281) 276-5200

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1285846089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16659 SOUTHWEST FWY",
            "address_2": "SUITE 131",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792375",
            "telephone_number": "281-494-6387",
            "fax_number": "281-494-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16659 SOUTHWEST FWY",
            "address_2": "SUITE 131",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792375",
            "telephone_number": "281-494-6387",
            "fax_number": "281-494-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGAR LAND NEUROLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT  OWNER",
        "authorized_official_telephone_number": "281-494-6387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "F5585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.