P Praxis·MD
● Active Type 1 · Individual

Richard J Jackson, MD

Surgery·Temple, TX· NPI 1215027883 · Enumerated 2006 · 19 years on NPI
Jackson is 1 of 7 surgery providers in Temple and 1 of 138 in Texas.
NPI age
19 years
Enumerated 2006-10-13
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
TX, AR
2 states
Status
Active
No deactivations on record
Last NPPES update
2021-06-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 138 active surgery providers in Texas.

NPI age
19 years
≈ at median (18 yr)
State licenses
2 states
Top 62% — 37% of peers are multi-state
Subspecialties
0
58% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
1901 Sw H K Dodgen Loop
Temple, TX 765023500
📞 2549354000fax 2549354111
Mailing address
Po Box 844658
Dallas, TX 752844658
📞 2547242111

Specialties

  • Surgery Primary
    A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
    TX license #N3094AR license #N-8271 taxonomy 2086S0120X

Identifiers

TypeValueNotes
05 (TX) 125912907
05 (TX) 137345810
05 (TX) 140442852
05 (AR) 121627001
05 (TX) 125912908
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 135 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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