Victor Sunday Jackson (NPI# 1679969877, PAC ID# 9739435561) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1679969877 |
| PAC ID by PECOS | 9739435561 |
| Professional Enrollment ID | I20180709001766 |
| Full Name | Victor Sunday Jackson |
| Organization Legal Name | UTMB FACULTY GROUP PRACTICE |
| Address |
128 W Parkwood Ave Friendswood Pediatric/adult Care Friendswood TX 77546-5431 |
| Phone Number | 2814825695 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 2015 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3375456734 |
| Number of Group Practice Members | 731 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450018 | UNIVERSITY OF TEXAS MEDICAL BRANCH GALVESTON |
| Address | Phone | Organization |
|---|---|---|
| 128 W Parkwood Ave, Friendswood Pediatric/adult Care, Friendswood, TX 77546-5431 | 2814825695 | UTMB FACULTY GROUP PRACTICE |
| Organization Legal Name | UTMB FACULTY GROUP PRACTICE |
| Physicians | 812 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hilma Peiso Bochantin | Nurse Practitioner | Utmb Faculty Group Practice | 2020 E Hwy 6, Alvin Pediatric and Adult Primary C, Alvin, TX 77511-8507 |
| Natasha Andrea Ruda | Physician Assistant | Utmb Faculty Group Practice | 701 E Davis St A, Utmb Rmch Conroe, Conroe, TX 77301-3102 |
| Jessica Jean Lamphere | Nurse Practitioner | Utmb Faculty Group Practice | 400 Harborside Dr, Utmb Primary Care Pavilion, Galveston, TX 77555-0001 |
| Andrea Layne Bowden | Physician Assistant | Utmb Faculty Group Practice | 511 Park Grove Ln, Katy, TX 77450-1759 |
| Leslie A Nabors | Physician Assistant | Utmb Faculty Group Practice | 136 E Hospital Dr, Utmb Health Family Medicine Anglet, Angleton, TX 77515-4161 |
| Teresa K Bowman | Nurse Practitioner | Utmb Faculty Group Practice | 14823 Southwest Fwy, Sugar Land, TX 77478-5016 |
| Erika D Schulze | Nurse Practitioner | Utmb Faculty Group Practice | 128 W Parkwood Ave, Friendswood Pediatric/adult Care, Friendswood, TX 77546-5431 |
| Wendi L Peralta | Nurse Practitioner | Utmb Faculty Group Practice | 6710 Stewart Rd, Suite 100, Galveston, TX 77551-2216 |
| Shawn P Nishi | Pulmonary Disease | Utmb Faculty Group Practice | 132 E Hospital Dr, Utmb Health Angleton Danbury Campus, Angleton, TX 77515-4112 |
| Nicholas J Defilippis | Anesthesiology | Utmb Faculty Group Practice | 301 University Blvd, Galveston, TX 77555-5302 |
| Street Address |
128 W PARKWOOD AVE FRIENDSWOOD PEDIATRIC/ADULT CARE |
| City | FRIENDSWOOD |
| State | TX |
| Zip | 77546-5431 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erika D Schulze | Nurse Practitioner | Utmb Faculty Group Practice | 128 W Parkwood Ave, Friendswood Pediatric/adult Care, Friendswood, TX 77546-5431 |
| Russell R Snyder | Obstetrics/gynecology | Utmb Faculty Group Practice | 128 W Parkwood Ave, Friendswood Pediatric/adult Care, Friendswood, TX 77546-5431 |
| Kamakshi A Patel | Neurology | Utmb Faculty Group Practice | 128 W Parkwood Ave, Friendswood Pediatric/adult Care, Friendswood, TX 77546-5431 |
| Cynthia A. Judice | Pediatric Medicine | Utmb Faculty Group Practice | 128 W Parkwood Ave, Friendswood Pediatric/adult Care, Friendswood, TX 77546-5431 |
| Alicia J Barren | Nurse Practitioner | Utmb Faculty Group Practice | 128 W Parkwood Ave, Friendswood Pediatric/adult Care, Friendswood, TX 77546-5431 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katrina Mae H Zalavarria | Nurse Practitioner | Memorial Hermann Medical Group | 1650 B E Winding Way, Friendswood, TX 77546 |
| Ezekiel Nwani | Nurse Practitioner | Memorial Hermann Medical Group | 1650 B E Winding Way, Friendswood, TX 77546 |
| Kim T Tran | Family Medicine | Memorial Hermann Medical Group | 1650 B E Winding Way, Friendswood, TX 77546 |
| Palam Annamalai | Interventional Radiology | Foundation Radiology Group PC | 3205 Salisbury Ct, Friendswood, TX 77546-2532 |
| Phyllis C Tang-wing | Optometry | Baybrook Vision Center Optometry Group | 1520 W Bay Area Blvd, Suite 1, Friendswood, TX 77546-2664 |
| Dan G Tom | Optometry | Baybrook Vision Center Optometry Group | 1520 W Bay Area Blvd, Suite 1, Friendswood, TX 77546-2664 |
| Marilyn D Townsend | Optometry | Baybrook Vision Center Optometry Group | 1520 W Bay Area Blvd, Suite 1, Friendswood, TX 77546-2664 |
| Amanda K Norris | Clinical Psychologist | 1560 W Bay Area Blvd, Friendswood, TX 77546-2665 | |
| Lynn E Hungerford | Psychologist, Clinical | 1560 W Bay Area Blvd, 150 Lynn Hungerford Phd, Friendswood, TX 77546-2672 | |
| David Vinh Nguyen | Optometry | 19210 Gulf Fwy, Friendswood, TX 77546-2705 | |
| Find all physicians in zip 77546 | |||
| City | FRIENDSWOOD |
| Zip Code | 77546 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | FRIENDSWOOD + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Victor Sunday Jackson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.