NPI age
9 years
Enumerated 2017-04-13
● Active
Type 1 · Individual
Robert Jackson SR.
Jackson is 1 of 115 specialist providers in Fort Worth and 1 of 4038 in Texas.
Primary specialty
Specialist
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2017-04-13
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 4038 active specialist providers in Texas.
NPI age
9 years
↓ 9 yr below median (18 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties
NPI lifetime · 2017 → 2026
2017-04Enumerated in NPPES
2017
2026
Where they practice
Practice location
150 S Beach St # A
Fort Worth, TX 761051162
Mailing address
4141 Avenue G
Fort Worth, TX 761052550
Specialties
-
Specialist PrimaryAn 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.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Recently enumerated nearby: 1 new specialist provider has been added in Fort Worth in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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