NPI 1154790491 DARA JACKSON ODESSA TX. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dara Jackson - NPI: 1154790491

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DARA JACKSON
NPI Number: 1154790491
Entity Type Code: Individual (1)
Gender: F
Credentials:
License Number: 110650
Business Practice Address: 620 N Alleghaney Ave
Odessa, TX - 797614408
Business Phone Number: 4323328244
Business Fax Number:
Mailing Address: 620 N Alleghaney Ave,
ODESSA
State: TX
Postal Code: 797614408
Phone Number: 4323328244
Fax Number:
NPI Enumeration Date: 09/16/2015
NPI Last Update Date: 09/16/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 235Z00000X
License Number: 110650
Healthcare Provider Taxonomy:
(Secondary)
Y
State: TX
Taxonomy Type: Speech, Language and Hearing Service Providers
Taxonomy Classification: Speech-Language Pathologist
Taxonomy Specialization:
Taxonomy Definition:
A speech pathologist is a person qualified by a master


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