DR. Kevin Wade Jackson, MD
NPI #1770103624 in Fort Bliss, Texas
Provider Information
- NPI Number
- 1770103624
- Entity Type
- Individual
- Name
- DR. Kevin Wade Jackson, MD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Credential
- MD
- Enumeration Date
- Apr 21, 2020
- Last Updated
- Jun 27, 2024
Practice Location
- Address
- 18511 HIGHLANDER MEDICS ST
- City
- Fort Bliss
- State
- Texas
- ZIP Code
- 79906-5327
- Phone
- (915) 742-7777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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