Organization · Type 2 NPI

Richard G. Jaeckle, M.d., P.a.

Specialist · Dallas, TX

NPI number 1356455406 Active

Practice location

8220 Walnut Hill Ln, Suite 404
Dallas, TX 75231-4427

Call (214) 696-0964 Map

Fax (214) 696-1094

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XC9022 (TX)

Specialist: An 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.

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About NPI 1356455406

Richard G. Jaeckle, M.d., P.a.'s National Provider Identifier is 1356455406, issued on Aug 18, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Dallas, TX. The record was last updated on Aug 22, 2020.