RICHARD JACKSON MD0416
NPI 1043480007
Student in an Organized Health Care Education/Training Program in Lubbock, TX

Active since March 06, 2008
3601 4TH ST, MS 8103, LUBBOCK, TX 79430(806) 743-2800 Get Directions Write a Review

NPPES record last updated: March 6, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Richard Jackson Md0416 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHARD JACKSON MD0416 (NPI 1043480007) is an individual student in an organized health care education/training program in Lubbock, Texas and active in the NPI registry since March 2008.

NPPES Registry Identity

NPI1043480007
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRICHARD JACKSONCredential: MD0416
Location Address3601 4TH ST, MS 8103Lubbock, TX 79430-0002
Mailing Address3601 4th St, Ms 8103Lubbock, TX 79430-0002 · (806) 743-2800
Sole ProprietorNo
Enumeration DateMarch 6, 2008
NPI 1043480007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3601 4TH ST, Lubbock, TX 79430

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
3601 4TH ST, STE. 2A300
LUBBOCK, TX 79430
Anesthesiology
3601 4TH ST
LUBBOCK, TX 79430
Student in an Organized Health Care Education/Training Program
3601 4TH ST
LUBBOCK, TX 79430
Psychiatry & Neurology (Psychiatry)
3601 4TH ST
LUBBOCK, TX 79430
Pathology (Anatomic Pathology & Clinical Pathology)
3601 4TH ST, SUITE 1A115
LUBBOCK, TX 79430
Orthopaedic Surgery (Sports Medicine)
3601 4TH ST
LUBBOCK, TX 79430
Student in an Organized Health Care Education/Training Program
3601 4TH ST
LUBBOCK, TX 79430
Internal Medicine
3601 4TH ST
LUBBOCK, TX 79430

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Jackson's NPI number?

The NPI number for Richard Jackson is 1043480007. It was assigned to this individual provider in the NPPES registry on March 6, 2008.

Where is Richard Jackson located?

Richard Jackson practices at 3601 4th St Ms 8103, Lubbock, TX 79430. The listed phone number is (806) 743-2800.

What is Richard Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Richard Jackson was last updated on March 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.