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

Individual provider Anesthesiology Physician · NPI 1619534393

Jaden Heber Fackrell, MD is an Anesthesiology in Lubbock, Texas. Graduated from Texas Tech University Health Science Center School of Medicine in 2019, 7 years ago. Licensed in Texas and Utah.

Years since qualifying
7
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
TX, UT
In the registry since
2019
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

3601 4th St
Lubbock, TX 79430-0002
Phone: (806) 743-6144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence U6714 (TX)
Anesthesiology Physician Taxonomy 207L00000X · Licence 136115531205 (UT)

Record details

NPI number1619534393
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 29, 2019
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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