Linda Johnson Jackson


Address: 10701 Corporate Dr, Suite 220, Stafford, TX 77477-4093
Phone: 7137807333

Linda Johnson Jackson (NPI# 1487742102, PAC ID# 1052509775) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1487742102
PAC ID by PECOS 1052509775
Professional Enrollment ID I20101222000529
Full Name Linda Johnson Jackson
Address 10701 Corporate Dr
Suite 220
Stafford
TX 77477-4093
Phone Number 7137807333
Gender F
Medical School BAYLOR COLLEGE OF MEDICINE
Graduation Year 1983
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
10701 Corporate Dr, Suite 220, Stafford, TX 77477-4093 7137807333

Organization Information

Office Location

Street Address 10701 CORPORATE DR
SUITE 220
City STAFFORD
State TX
Zip 77477-4093

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Competitor

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City STAFFORD
Zip Code 77477
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty STAFFORD + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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