Whalio Doctors

NPI 1659348555

Robert E Jackson, MD

Practitioner Nuclear Medicine Physician Amarillo, TX

Practice location

Address
1901 Port Ln, Amarillo, TX 79106-2430
Phone
(806) 358-4596
Fax
(806) 358-6726
Mailing address
PO Box 3856, Amarillo, TX 79116-3856

Registered specialties

Nuclear Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207U00000X Licence E4425 (TX)

Registry record

NPI
1659348555
Entity type
Individual
Sex (as registered)
Male
NPI issued
1 Mar 2006
Record last updated
30 Oct 2013

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.