Individual provider · Type 1 NPI
Russell Brent Jackson, DO
Orthopaedic Surgery Physician · San Antonio, TX
Practice location
155 E Sonterra Blvd Ste 111
San Antonio, TX 78258-3988
Fax (210) 729-1901
Mailing address
PO Box 593377
San Antonio, TX 78259-0218
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery Physician Primary | 207X00000X | P5384 (TX) |
Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…
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About NPI 1073752879
Russell Brent Jackson, DO's National Provider Identifier is 1073752879, issued on Feb 18, 2009. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in San Antonio, TX. The record was last updated on May 6, 2019.