Jackson Edward Massanelli, MD

NPI #1184201592 in Pearland, Texas

Provider Information

NPI Number: 1184201592
Entity Type: Individual
Name: Jackson Edward Massanelli, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Mar 24, 2021
Last Updated: Jul 18, 2025

Practice Location

Address: 2017 BROADWAY ST
City: Pearland
State: Texas
ZIP Code: 77581-5501
Phone: (281) 485-9990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Pediatrics	208000000X	Primary

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