PAUL JACKSON (NPI# 1114422599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114422599 |
| Entity Type | Individual |
| Full Name | PAUL JACKSON |
| Credential | DO |
| Practice Address |
600 Elizabeth St, Gme Corpus Christi TX 78404 |
| Practice Telephone | 3618611864 |
| Mailing Telephone | 3618611864 |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477112522 | Paul A Jackson | Psychologist | 459 W Macarthur Blvd, Oakland, CA 94609-2808 | 2019-06-12 |
| 1639435019 | Paul Jackson | Adult Companion | 2229 Pueblo Dr, Garland, TX 75040-4328 | 2012-04-10 |
| 1609005172 | Paul A Jackson Jr. | Counselor | 5117 Andrea Blvd, Suite 86, Sacramento, CA 95842-2518 | 2009-07-06 |
| 1467688564 | Paul S. Jackson | Student in an Organized Health Care Education/Training Program | 26 South 200 East, Suite 5900, Salt Lake City, UT 84112 | 2009-06-03 |
| 1043462815 | Paul Jackson | Driver | 34401 Calgary Ter, Fremont, CA 94555-2916 | 2008-10-10 |
| 1154435899 | Paul Thomas Jackson Jr. | Internal Medicine | 4550 Lamar Ave, Suite 200, Paris, TX 75462-5124 | 2006-08-19 |
| 1053322974 | Paul D Jackson | Obstetrics & Gynecology | 508 Arnold Ave, Greenville, MS 38701-5319 | 2006-08-10 |
| 1053330704 | Paul Maurice Jackson | Internal Medicine | 20271 Merrick Dr, Saratoga, CA 95070-4960 | 2006-07-19 |
| 1598706855 | Paul Brian Jackson | Optometrist | 6825 Parker Farm Dr, Wilmington, NC 28405-3168 | 2006-06-09 |
| 1942290606 | Paul Dennis Jackson | Psychiatry & Neurology | 2065 21st St Se Apt O, Hickory, NC 28602-3479 | 2005-10-25 |
| Street Address |
600 ELIZABETH ST, GME |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810866 | Eileen Michelle Isaacs | Social Worker | 1315 Sante Fe St. Ste. 215, Corpus Christi, TX 78404 | 2020-08-05 |
| 1386109791 | Sanil John | Specialist/Technologist, Other | South Texas Brain and Spine Centers, 1227 3rd St, Corpus Christi, TX 78404 | 2019-02-11 |
| 1740704303 | Edwin Gabriel Otero | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St # 9b, Corpus Christi, TX 78404 | 2017-07-26 |
| 1053832170 | Melissa D Ponder | Emergency Medicine | 600 Elizabeth St Ste 6b, Corpus Christi, TX 78404 | 2017-06-28 |
| 1821533480 | Collen Mora | Nurse Practitioner | 1533 5th Street, Coprus Christi, TX 78404 | 2017-01-05 |
| 1013365717 | Terri L Sutphin | Speech-Language Pathologist | 1001 Louisiana Ave., Ste #402, Corpus Christi, TX 78404 | 2016-06-03 |
| 1982067872 | Janareddy Mandadi | Pharmacist | 1335 Santa Fe, Shoreline Pharmacy, Corpus Christi, TX 78404 | 2016-03-30 |
| 1932514007 | Debra Carpenter Guzman | Nurse Practitioner | 1600 S Staples, Ste 150, Corpus Christi, TX 78404 | 2014-06-26 |
| 1083037451 | Michelle Lynn Freshcoln Talbert | Registered Nurse | 309 Ohio Ave., Corpus Christi, TX 78404 | 2014-01-21 |
| 1215364492 | Robelin Marcelo Garza | Speech-Language Pathologist | 1630 S Brownlee Ave, Corpus Christi, TX 78404 | 2013-10-02 |
| Find all providers in zip 78404 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700405834 | Rehana Satani | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St Ste 9b, Corpus Christi, TX 78404-2235 | 2020-04-09 |
| 1194353722 | Stormy Nicholas Weiss | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St., 9b Gme, Corpus Christi, TX 78404-2235 | 2020-03-30 |
| 1053972547 | Carlos Sisniega | Student in an Organized Health Care Education/Training Program | 4901 Saratoga Blvd Apt 127, Corpus Christi, TX 78413-2266 | 2019-06-25 |
| 1942783105 | Kyle Wayne Campbell | Student in an Organized Health Care Education/Training Program | 4021 Donaho Dr, Corpus Christi, TX 78413-3005 | 2018-09-12 |
| 1619465374 | Jordan Marie Comstock | Student in an Organized Health Care Education/Training Program | 222 Ohio Ave, Corpus Christi, TX 78404-1723 | 2018-04-27 |
| 1740704303 | Edwin Gabriel Otero | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St # 9b, Corpus Christi, TX 78404 | 2017-07-26 |
| 1083147938 | Joshua Abraham Betancourt | Student in an Organized Health Care Education/Training Program | 2606 Hospital Blvd.,5 West, Corpus Christi, TX 78405 | 2017-04-07 |
| 1598218547 | Nilay Donmez | Student in an Organized Health Care Education/Training Program | 5750 Curtis Clark Dr Apt 631, Corpus Christi, TX 78412-4580 | 2016-07-26 |
| 1598218638 | Amulya Buddhavarapu | Student in an Organized Health Care Education/Training Program | 3333 S Alameda St Apt 13s, Corpus Christi, TX 78411-1836 | 2016-07-25 |
| 1770936882 | Hajra Saeed | Student in an Organized Health Care Education/Training Program | 3333 S Alameda St Apt 13i, Corpus Christi, TX 78411-1835 | 2016-07-14 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78404 |
Please comment or provide details below to improve the information on PAUL JACKSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.