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

Richard Jackson, MD0416

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043480007

Richard Jackson, MD0416 is a Student in an Organized Health Care Education/Training Program in Lubbock, Texas. Licensed in Texas. Registered with an NPI since 2008.

Licensed in
TX
In the registry since
2008

Practice location Address checks out

3601 4th St MS 8103
Lubbock, TX 79430-0002
Phone: (806) 743-2800
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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 (TX)

Record details

NPI number1043480007
Entity typeIndividual (Type 1)
GenderMale
Credentials MD0416
Sole proprietorNo
NPI enumeratedMarch 6, 2008
Last updated in NPPESMarch 6, 2008
Mailing address3601 4th St, Ms 8103, Lubbock, TX 79430-0002

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