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JACKSON DOUGLAS MD
NPI 1366293904
Student in an Organized Health Care Education/Training Program in Dallas, TX

Active since April 01, 2024
5323 HARRY HINES BLVD, DALLAS, TX 75390(214) 648-3433 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jackson Douglas Md NPPES

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

JACKSON DOUGLAS MD (NPI 1366293904) is an individual student in an organized health care education/training program in Dallas, Texas and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1366293904
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACKSON DOUGLASCredential: MD
Location Address5323 HARRY HINES BLVDDallas, TX 75390-7201
Mailing Address5323 Harry Hines BlvdDallas, TX 75390-7201 · (214) 648-3433
Phone(214) 648-3433
Sole ProprietorNo
Enumeration DateApril 1, 2024
NPPES CertifiedMarch 31, 2024
✔ NPI 1366293904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.

5323 HARRY HINES BLVD, Dallas, TX 75390
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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.

KEVIN GINGRICH M.D.
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-7833
DR. BRUCE A MEYER M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-9794
GREGORY A MILLNAMOW MD
Radiology (Diagnostic Radiology)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-8018
SUNATI SAHOO MD
Pathology (Anatomic Pathology & Clinical Pathology)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 590-8607
MS. PIA BANERJI M.S., C.G.C
Genetic Counselor, MS
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-1998
YISHENG V FANG MD
Pathology (Immunopathology)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 590-8651
DR. IMRAN R. KHAWAJA MD
Internal Medicine
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 645-5777
DR. SARA ANTOINETTE MONAGHAN MD
Pathology (Hematology)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 645-6312

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 Jackson Douglas's NPI number?

The NPI number for Jackson Douglas is 1366293904. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Where is Jackson Douglas located?

Jackson Douglas practices at 5323 Harry Hines Blvd, Dallas, TX 75390. The listed phone number is (214) 648-3433.

What is Jackson Douglas'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 Jackson Douglas was last updated on April 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.