DR. TRACIE JACKSON


Address: 1507 W League City Pkwy Ste 100, League City, TX 77573-7340
Phone: 2813328400

DR. TRACIE JACKSON (NPI# 1982883609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982883609
Entity Type Individual
Full Name DR. TRACIE JACKSON
Credential D.D.S.
Practice Address 1507 W League City Pkwy Ste 100
League City
TX 77573-7340
Practice Telephone 2813328400
Practice Fax Number 2814766429
Mailing Telephone 2813328400
Mailing Fax Number 2814766429
Enumeration Date 2007-10-30
Last Update Date 2019-05-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
22852 TX Dental Providers

Other Providers TRACIE JACKSON

NPI Name Taxonomy Address Enumeration
1932458346 Tracie Lynn Jackson Nurse Practitioner 740 S Limestone St Perioperative Services, Suite J111, Lexington, KY 40536-0200 2012-08-30
1275181414 Tracie Latrice Jackson Chore Provider 3620 N Rancho Dr Ste 117, Las Vegas, NV 89130-3154 2019-08-30
1184167751 Tracie Jackson Physical Therapy Assistant 6300 Sw 6th Ave, Topeka, KS 66615-1013 2016-11-29
1487948154 Tracie Lashelle Jackson Physical Therapist 10101 Park Rowe Ave, Ste. 200, Baton Rouge, LA 70810-1686 2011-05-31
1982807715 Tracie Lee Jackson Dietitian, Registered 8601 W Dodge Rd, Suite # 30, Omaha, NE 68114-3457 2007-06-08
1518997196 Tracie Deneice Jackson Counselor 6005 Financial Plz, Shreveport, LA 71129-2615 2006-07-03

Office Location

Street Address 1507 W LEAGUE CITY PKWY STE 100
City LEAGUE CITY
State TX
Zip Code 77573-7340

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811555345 Westview Dental Clinic/Center 1507 W League City Pkwy Ste 100, League City, TX 77573-7340 2019-05-30
1356726814 Ashley Tucker Dentist 1507 W League City Pkwy Ste 100, League City, TX 77573-7340 2015-07-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114527306 Colin Joe Lee Pharmacist 1088 W Main St League City, Tx 77573 United States, League City, TX 77573 2020-10-28
1033764931 Brittany Salinas Physical Medicine & Rehabilitation 2205 Colonial Court N, League City, TX 77573 2019-08-07
1366007833 Tmh Physician Associates Pllc Orthopaedic Surgery 2220 E. League City Parkway, Suite 200, League City, TX 77573 2019-05-09
1851863724 Gina Carter Durable Medical Equipment & Medical Supplies 210 S. Hwy 3, Unit B, League City, TX 77573 2018-12-17
1497226393 Daniel Max & Marcandrea LLC Optometrist 3170 Gulf Freeway South, League City, TX 77573 2018-12-17
1972071983 Chelsie N Chonoski Nurse Practitioner 2240 Gulf Freeway South, Suite 2.110, League City, TX 77573 2018-11-07
1730660564 Rebecca Ann Peth Physical Therapist 350 N Wesley Dr., Apt 1123, League City, TX 77573 2018-08-29
1912485087 Sarwat Hussain Zaffer Dentist 1620 W Fm 646, Ste D, League City, TX 77573 2018-08-01
1518468651 Clear Creek Chiropractic Center Clinic/Center 624 West Main Ste 102, League City, TX 77573 2018-02-23
1255850848 Travis William Prothro Chiropractor 1620 W. Fm 646, Suite C, League City, TX 77573 2017-09-14
Find all providers in zip 77573

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518572114 Erick Daniel Lopez Dentist 1355 E League City Pkwy Ste 500, League City, TX 77573-7096 2020-09-10
1861054991 Emily D'aun Donnell Dentist 3033 Marina Bay Dr Ste 230, League City, TX 77573-3982 2019-06-28
1356860316 Portable Smiles LLC Dentist 141 S Laguna Pointe Dr, League City, TX 77573-9004 2017-09-11
1508206079 Thien-kim Thi Pham Dentist 2508 Gulf Fwy S Ste 108, League City, TX 77573-6743 2013-06-28
1225385875 League City Modern Dentistry and Orthodontics, PC Dentist 1620 West Fm 646 Suite D, League City, TX 77573 2012-08-13
1992099238 Yu Gan Dentist 4611 Miramar Dr, League City, TX 77573-1452 2011-06-03
1871757039 Maria Cristina Abramian Dentist 2640 E League City Pkwy Ste 108, League City, TX 77573 2008-07-16
1609034727 Dr Gary Geaccone Dentist 608 B West Main, League City, TX 77573 2008-05-27
1669667408 Dental Etc Dentist 2945 Gulf Fwy S Ste D, League City, TX 77573-6771 2007-09-13
1790900306 Jeffrey Brian Geno Dentist 216 Interstate 45 South, League City, TX 77573 2007-04-17
Find all providers in LEAGUE CITY

Competitor

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City LEAGUE CITY
Zip Code 77573

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Dataset Information

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.

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