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PHYSICIAN SERVICES OF JACKSBORO PA
NPI 1457657371
Internal Medicine in Jacksboro, TX

Active since February 10, 2011CLIA 45D2253773 · Waiver
709 N 4TH ST, JACKSBORO, TX 76458(817) 565-0922 Get Directions Write a Review

NPPES record last updated: November 23, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Physician Services Of Jacksboro Pa NPPES

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

PHYSICIAN SERVICES OF JACKSBORO PA (NPI 1457657371) is a healthcare organization registered as an internal medicine in Jacksboro, Texas and active in the NPI registry since February 2011. The organization holds a CLIA Waiver certificate valid through February 23, 2028 and lists Syed Jamal, Owner, as its authorized official.

NPPES Registry Identity

NPI1457657371
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePHYSICIAN SERVICES OF JACKSBORO PA
Location Address709 N 4TH STJacksboro, TX 76458-1132
Mailing AddressPo Box 907Frisco, TX 75034 · (817) 565-0922
Phone(817) 565-0922
Organization SubpartNo
Authorized OfficialSyed JamalOwner · (817) 565-0922
Enumeration DateFebruary 10, 2011
Last NPPES UpdateNovember 23, 2011
✔ NPI 1457657371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · J8000
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
709 N 4TH ST, Jacksboro, TX 76458
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Other Identifiers 1

Other0036XBTX · Bcbs

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2253773

Physician Services Of Jacksboro, PA · Jacksboro, TX
Active · expires Feb 23, 2028
CLIA Number45D2253773
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2026
Certificate Expiration DateFebruary 23, 2028
Laboratory DirectorSyed Jamal
Laboratory Phone(817) 565-0922
Laboratory LocationPhysician Services Of Jacksboro, PA709 N 4th St, Jacksboro, TX 76458
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Physician Services Of Jacksboro PA's NPI number?

The NPI number for Physician Services Of Jacksboro PA is 1457657371. It was assigned to this organization in the NPPES registry on February 10, 2011.

Where is Physician Services Of Jacksboro PA located?

Physician Services Of Jacksboro PA is located at 709 N 4th St, Jacksboro, TX 76458. The listed phone number is (817) 565-0922.

What is Physician Services Of Jacksboro PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Physician Services Of Jacksboro PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2253773) is associated with this NPI, valid through February 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Physician Services Of Jacksboro PA accept?

Health plans from Blue Cross and Blue Shield of Texas list Physician Services Of Jacksboro PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Physician Services Of Jacksboro PA was last updated on November 23, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.