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

Timothy A. Jackson, MDPHD

Individual provider Anesthesiology Physician · NPI 1750477790

Timothy A. Jackson, MDPHD is an Anesthesiology in Houston, Texas. Graduated from Harvard Medical School in 2000, 26 years ago. Practices with Physicians Referral Service, a 2,727-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
26
Trained at
Harvard Medical School
Licensed in
TX
In the registry since
2006
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Practice location Address checks out

1515 Holcombe Blvd
Houston, TX 77030-4009
Phone: (713) 792-6161
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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 M1160 (TX)

Record details

NPI number1750477790
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedOctober 5, 2006
Last updated in NPPESJuly 5, 2012
Mailing addressPo Box 4439, Houston, TX 77210-4439

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolHARVARD MEDICAL SCHOOL
Graduated 2000 (26 years in practice)
Group practice Physicians Referral Service — 2727 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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