Whalio Doctors

NPI 1326799610

Jackson Surgical Consultants P.A.

Organisation General Practice Physician Friendswood, TX

Practice location

Address
1110 S Friendswood Dr, Friendswood, TX 77546-5698
Phone
(409) 299-4785
Fax
(409) 220-8348
Mailing address
12337 Jones Rd STE 427, Houston, TX 77070-4951

Authorised official

Name
Marissa Deluna
Title
Credentialing Manager
Phone
(713) 800-3359

Registered specialties (2)

General Practice Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208D00000X
Health & Wellness Coach
Other Service Providers Taxonomy 171400000X

Registry record

NPI
1326799610
Entity type
Organization
NPI issued
18 Jan 2022
Record last updated
3 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.