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DR. SHELTON RAY JACKSON MD
NPI 1053348631
Emergency Medicine in Lubbock, TX

Active since June 27, 2006
4407 87TH ST, LUBBOCK, TX 79424(806) 783-0904(806) 783-0904 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Shelton Ray Jackson Md NPPES

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

DR. SHELTON RAY JACKSON MD (NPI 1053348631) is an individual emergency medicine provider in Lubbock, Texas, licensed in Texas (F4878) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1053348631
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. SHELTON RAY JACKSONCredential: MD
Location Address4407 87TH STLubbock, TX 79424-4229
Mailing Address4407 87th StLubbock, TX 79424-4229 · (806) 783-0904 · Fax (806) 783-0904
Phone(806) 783-0904
Fax(806) 783-0904
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1053348631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TX · F4878
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
4407 87TH ST, Lubbock, TX 79424
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Other Identifiers 1

Medicare UPINC17332TX

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 Shelton Jackson's NPI number?

The NPI number for Shelton Jackson is 1053348631. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Shelton Jackson located?

Shelton Jackson practices at 4407 87th St, Lubbock, TX 79424. The listed phone number is (806) 783-0904.

What is Shelton Jackson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Shelton Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.