Provider Demographics
NPI:1073958716
Name:JACKSON, MARGARET LOUISE (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:LOUISE
Last Name:JACKSON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4201 GARTH RD STE 111
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-3154
Mailing Address - Country:US
Mailing Address - Phone:328-556-6625
Mailing Address - Fax:832-556-6650
Practice Address - Street 1:6431 FANNIN ST
Practice Address - Street 2:SUITE JJL 310
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1501
Practice Address - Country:US
Practice Address - Phone:713-500-5154
Practice Address - Fax:713-500-0612
Is Sole Proprietor?:No
Enumeration Date:2013-05-08
Last Update Date:2022-09-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXQ58232086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery