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

Jackson Edward Massanelli, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1184201592

Jackson Edward Massanelli, MD is a Student in an Organized Health Care Education/Training Program in Pearland, Texas. Licensed in Texas. Registered with an NPI since 2021.

Licensed in
TX
In the registry since
2021
Specialties on file
2
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

2017 Broadway St
Pearland, TX 77581-5501
Phone: (281) 485-9990
Fax: (281) 485-9469
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence U9595 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1184201592
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2021
Last updated in NPPESJuly 18, 2025
Certification dateJuly 18, 2025
Mailing address1 Baylor Plz # Bcm320, Houston, TX 77030-3411

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