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NPI Profile for Dr LANCE E JACKSON in SAN ANTONIO, TX.
An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Otology & Neurotology |
207YX0901X | 04 | Physician/Otolaryngology | |
Otolaryngic Allergy |
207YX0602X | 04 | Physician/Otolaryngology | |
Otolaryngology |
207Y00000X | 04 | Physician/Otolaryngology | |
Specialist |
174400000X |
| NPI Number | 1174554521 |
|
| Status | Active | |
| Credentials | M.D., F.A.C.S. | |
| Entity | Individual | |
| Enumeration date | 07/05/2006 | |
| Last updated | 01/25/2013 - About 13 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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LANCE E JACKSON
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| BEAUTIFUL CHANGES, LLC 19115 FM 2252 GARDEN RIDGE, TX |
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LANCE E JACKSON, M.D., F.A.C.S.