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ROBERT JACKSON SR.
NPI 1083148373
Specialist in Fort Worth, TX

Active since April 13, 2017
150 S BEACH ST # A, FORT WORTH, TX 76105(817) 846-9926(817) 386-5445 Get Directions Write a Review

NPPES record last updated: April 13, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Robert Jackson Sr. NPPES

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

ROBERT JACKSON SR. (NPI 1083148373) is an individual specialist in Fort Worth, Texas and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1083148373
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameROBERT JACKSON SR.
Location Address150 S BEACH ST # AFort Worth, TX 76105-1162
Mailing Address4141 Avenue GFort Worth, TX 76105-2550 · (817) 846-9926 · Fax (817) 386-5445
Phone(817) 846-9926
Fax(817) 386-5445
Sole ProprietorYes
Enumeration DateApril 13, 2017
✔ NPI 1083148373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

150 S BEACH ST # A, Fort Worth, TX 76105
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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 Robert Jackson's NPI number?

The NPI number for Robert Jackson is 1083148373. It was assigned to this individual provider in the NPPES registry on April 13, 2017.

Where is Robert Jackson located?

Robert Jackson practices at 150 S Beach St # A, Fort Worth, TX 76105. The listed phone number is (817) 846-9926.

What is Robert Jackson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Robert Jackson was last updated on April 13, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.