Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clayton Ralph Jackson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1447955174

Clayton Ralph Jackson, MD is a Student in an Organized Health Care Education/Training Program in Fort Worth, Texas. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1500 S Main St
Fort Worth, TX 76104-4941
Phone: (817) 702-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1447955174
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2023
Last updated in NPPESApril 3, 2023
Certification dateApril 3, 2023
Mailing address1500 S Main St, Fort Worth, TX 76104-4941

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