NPI age
8 years
Enumerated 2017-06-15
● Active
Type 1 · Individual
Jaclyn Stacy Faulk, DO
Faulk is 1 of 29 internal medicine providers in Jbsa Lackland and 1 of 12343 in Texas.
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
MS
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-07-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 12343 active internal medicine providers in Texas.
NPI age
8 years
↓ 9 yr below median (17 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
1
In the 33% of peers with subspecialties
NPI lifetime · 2017 → 2026
2017-06Enumerated in NPPES
2017
2026
Where they practice
Practice location
1100 Wilford Hall Loop
Jbsa Lackland, TX 782365638
Mailing address
1100 Wilford Hall Loop
Jbsa Lackland, TX 782365638
Additional practice locations
1 secondary location on file with NPPES.
Location 2
3551 Roger Brooke Dr, Jbsa Ft Sam Houston
Houston, TX 78234
Specialties
-
Internal Medicine PrimaryA 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,...
-
Student in an Organized Health Care Education/Training ProgramAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Practice context
Part of a multi-provider practice. 222 other active providers share this practice address in NPPES.
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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.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.