Jacksonville Surgical Associates, LLP

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

JACKSONVILLE SURGICAL ASSOCIATES, LLP

Practice address

7920 Belt Line Rd
Suite 310
Dallas, TX 75254-8145

Phone

(972) 331-8100

Fax

(972) 331-8110

NPI assigned

Apr 13, 2006

Last updated

Jan 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Malinda Kay Felts

Title

Office Manager

Phone

(903) 586-6863

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Alex Benavides, M.D.

  • Surgery Physician
  • Dallas, TX
  • NPI 1497893754
  NPD (past)
• Charles Wade Page, M.D.

  • Specialist
  • Nacogdoches, TX
  • NPI 1437104585
  NPD (past)
• Lucia Leigh Williams, MD

  • Obstetrics & Gynecology Physician
  • Jacksonville, TX
  • NPI 1386745982
  NPD (past)
• Frank Terrell Felts, M.D.

  • Surgery Physician
  • Las Cruces, NM
  • NPI 1366406639

  Specialist

  NPD (past)

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1336103605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2316",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757660067",
            "telephone_number": "903-586-6863",
            "fax_number": "903-586-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 BELT LINE RD",
            "address_2": "SUITE 310",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752548145",
            "telephone_number": "972-331-8100",
            "fax_number": "972-331-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSONVILLE SURGICAL ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "FELTS",
        "authorized_official_first_name": "MALINDA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "903-586-6863"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trenel Shundrae Jackson, APRN, FNP-BC
• Tyneshea Jackson
• Warren T Jackson, PHD
• William J Jackson, M.D.
• William Kenneth Jackson, DDS
• James S. Jackwoski, D.C.
• Jaclyn Herrig Counseling
• Jacob Christopher Caruso
• Pheba Jacob John, PT
• Jacob K Kruvilla (Fundamental Dental)

• Specialist in Dallas, TX
• Providers in Dallas, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.