Henry Carson Jackson Iii (NPI# 1558624866, PAC ID# 4082931753) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1558624866 |
| PAC ID by PECOS | 4082931753 |
| Professional Enrollment ID | I20150318001893 |
| Full Name | Henry Carson Jackson Iii |
| Organization Legal Name | TOWN AND COUNTRY FAMILY PHYSICIANS, PLLP |
| Address |
10497 Town and Country Way Suite 360 Houston TX 77024-1143 |
| Phone Number | 7133412100 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3678659323 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450610 | MEMORIAL HERMANN MEMORIAL CITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 10497 Town and Country Way, Suite 360, Houston, TX 77024-1143 | 7133412100 | TOWN AND COUNTRY FAMILY PHYSICIANS, PLLP |
| Organization Legal Name | TOWN AND COUNTRY FAMILY PHYSICIANS, PLLP |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony J Popek | Family Medicine | Town and Country Family Physicians, Pllp | 10497 Town and Country Way, Suite 360, Houston, TX 77024-1143 |
| Laurel M Tucker | General Practice | Town and Country Family Physicians, Pllp | 10497 Town and Country Way, Suite 360, Houston, TX 77024-1143 |
| Street Address |
10497 TOWN AND COUNTRY WAY SUITE 360 |
| City | HOUSTON |
| State | TX |
| Zip | 77024-1143 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony J Popek | Family Medicine | Town and Country Family Physicians, Pllp | 10497 Town and Country Way, Suite 360, Houston, TX 77024-1143 |
| Jeffrey Y Lee | Geriatric Medicine | 10497 Town and Country Way, Suite 700, Houston, TX 77024-1135 | |
| Laurel M Tucker | General Practice | Town and Country Family Physicians, Pllp | 10497 Town and Country Way, Suite 360, Houston, TX 77024-1143 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luis A Campos | Interventional Cardiology | Comprehensive Heart Care | 925 Gressner, Suite 630, Houston, TX 77024 |
| Irvin J. Saron | Urology | Irvin J. Saron, M.d., Pa | 920 Frostwood, Suite 610, Houston, TX 77024 |
| Rafi S Bidros | Plastic and Reconstructive Surgery | 10565 Katy Fwy 100, Houston, TX 77024-1008 | |
| William S Velasquez | Medical Oncology | Oncology Consultants Pa | 10405 Katy Fwy, Suite E, Houston, TX 77024-1121 |
| Tse-kuan Yu | Radiation Oncology | Oncology Consultants Pa | 10405 Katy Fwy, Suite E, Houston, TX 77024-1121 |
| Kathy Sam | Hematology/oncology | Oncology Consultants Pa | 10405 Katy Fwy, Suite E, Houston, TX 77024-1121 |
| Terri M Bowden | Nurse Practitioner | Ut Physicians | 10125 Katy Fwy, Suite 100, Houston, TX 77024-1204 |
| Tanyaradzwa Miriam Kajese | General Surgery | Memorial Hermann Physicians | 10125 Katy Fwy, Suite 106, Houston, TX 77024-1287 |
| Eric Duffy | General Surgery | Memorial Hermann Physicians | 10125 Katy Fwy, Suite 106, Houston, TX 77024-1287 |
| John A Primomo | General Surgery | Memorial Hermann Physicians | 10125 Katy Fwy, Suite 106, Houston, TX 77024-1287 |
| Find all physicians in zip 77024 | |||
| City | HOUSTON |
| Zip Code | 77024 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HOUSTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Henry Carson Jackson Iii.
| 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.