RANDAL K JACKS (NPI# 1356314124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356314124 |
| Entity Type | Individual |
| Full Name | RANDAL K JACKS |
| Credential | MD |
| Practice Address |
774 Landa St New Braunfels TX 78130-6114 |
| Practice Telephone | 8306250305 |
| Practice Fax Number | 8306252693 |
| Mailing Telephone | 8306250305 |
| Mailing Fax Number | 8306252693 |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2011-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G8195 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
774 LANDA ST |
| City | NEW BRAUNFELS |
| State | TX |
| Zip Code | 78130-6114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518937408 | Darrell David Svatek | Physician Assistant | 774 Landa St, New Braunfels, TX 78130-6114 | 2006-01-24 |
| 1811529050 | Kimberly Marie Schmidt | Family Medicine | 774 Landa St, New Braunfels, TX 78130-6114 | 2020-02-05 |
| 1457825416 | Aleesa Griffin | Physician Assistant | 774 Landa St, New Braunfels, TX 78130-6114 | 2019-01-14 |
| 1538545884 | Jayme Baker | Physician Assistant | 774 Landa St, New Braunfels, TX 78130-6114 | 2015-08-09 |
| 1932452067 | Sharon D Wright | Nurse Practitioner | 774 Landa St, New Braunfels, TX 78130-6114 | 2012-10-26 |
| 1215167119 | Kyle H Fehlis | Family Medicine | 774 Landa St, New Braunfels, TX 78130-6114 | 2009-07-26 |
| 1770735904 | Mesha D'lynn Box | Nurse Practitioner | 774 Landa St, New Braunfels, TX 78130-6114 | 2008-10-21 |
| 1699965533 | Wendi E Konomos | Nurse Practitioner | 774 Landa St, New Braunfels, TX 78130-6114 | 2007-07-26 |
| 1104834340 | Brian Wayne Stigall | Family Medicine | 774 Landa St, New Braunfels, TX 78130-6114 | 2006-08-04 |
| 1841214228 | Ronald Richard Cohle | Family Medicine | 774 Landa St, New Braunfels, TX 78130-6114 | 2006-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841827102 | Madison Johnson | Licensed Vocational Nurse | 3127 Doulglas Fir Dr, New Braunfels, TX 78130 | 2020-03-26 |
| 1558997734 | Children's Dental Ranch of New Braunfels, Pllc | Dentist | 1187 West County Line Rd, Suite 11b, New Braunfels, TX 78130 | 2020-03-19 |
| 1114559432 | Guadalupe Regional Medical Group | Clinic/Center | 1761 S. State Hwy 46, Suite 104, New Braunfels, TX 78130 | 2020-02-05 |
| 1164052536 | Talia Louise Risinger | Specialist/Technologist | 2551 337-loop 337, New Braunfels, TX 78130 | 2020-01-24 |
| 1255971099 | Next Level Orthodontics, Pllc | Dentist | 2084 Central Plaza, Ste 102, New Braunfels, TX 78130 | 2020-01-09 |
| 1568008613 | Carol Abel | Chiropractor | 931 N Ih35 Business, Suite 200, New Braunfels, TX 78130 | 2019-11-25 |
| 1245872910 | Tyler Vassar | Behavior Technician | 475 Oxford Dr. Ste. 104, New Braunfels, TX 78130 | 2019-10-14 |
| 1528617735 | Alexis Ellis | Licensed Practical Nurse | 2619 Pahmeyer Rd, New Braunfels, TX 78130 | 2019-09-10 |
| 1144790718 | Jamie Lynn Taylor | Counselor | 1414 W. San Antonio St, New Braunfels, TX 78130 | 2018-11-27 |
| 1417422270 | Ace Dental09 Pllc | Dentist | 1671 N. Ih 35, Ste 300, New Braunfels, TX 78130 | 2018-10-09 |
| Find all providers in zip 78130 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104424795 | Rachel Elizabeth Whitten | Family Medicine | 614 S Business Ih 35 Ste A, New Braunfels, TX 78130-4748 | 2020-10-15 |
| 1992266498 | Zara Medical Aestetics, Pllc | Family Medicine | 1928 Highway 46 W #105, Suie 208, New Braunfels, TX 78132 | 2019-03-27 |
| 1649749466 | Amanda Gordon | Family Medicine | 598 N Union Ave Ste 350, New Braunfels, TX 78130-4196 | 2018-11-21 |
| 1497265821 | Connie Sun Wheat | Family Medicine | 1019 Clover Cir, New Braunfels, TX 78130-6520 | 2017-10-12 |
| 1285099085 | Tmc Provider Group Pllc | Family Medicine | 958 N Ih 35, New Braunfels, TX 78130-3731 | 2015-12-21 |
| 1245618065 | Rodolfo R. Canizales-collazo | Family Medicine | 2648 Loop 337, New Braunfels, TX 78132 | 2015-05-13 |
| 1265848121 | Jessica I Edwards | Family Medicine | 1928 Highway 46 W, Ste 105, New Braunfels, TX 78132-0022 | 2014-07-10 |
| 1114273745 | Tristan Cyrus Richards | Family Medicine | 712 N Houston Ave Ste A, New Braunfels, TX 78130 | 2012-08-01 |
| 1093033573 | C Kelly Family Clinic, Pa | Family Medicine | 794 Generations Dr., Ste. 100, New Braunfels, TX 78130-2460 | 2010-05-09 |
| 1902036106 | Stanley Frank Uchman | Family Medicine | 241 Gruene Haven, New Braunfels, TX 78132 | 2009-07-22 |
| Find all providers in NEW BRAUNFELS | ||||
| City | NEW BRAUNFELS |
| Zip Code | 78130 |
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| 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.