Gary L Jackson is a Texarkana, Texas based nurse anesthetist with 47 years of experience as Anesthesia Administration. He completed he graduation in 1978. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Gary L Jackson is 231425 for Anesthesia Administration in Texas. his current practice location is 4100 Summerhill Rd, Texarkana. Patients can reach him at 903-735-9802 or can fax him at 903-735-9806. Gary L Jackson is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1700884947. Gary L Jackson is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Gary L Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
47+ years
Medical School Attended:
Other
Graduation Year:
1978
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
4100 Summerhill Rd, Texarkana, Texas, 75503-2732
Phone:
903-735-9802
Fax:
903-735-9806
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1759564636
Enrollment ID:
I20110330000880
NPI Number:
1700884947
NPI Enumeration Date:
12 Jul, 2005
NPI Last Update On:
26 Jul, 2014
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gary L Jackson are as mentioned below.
License Number
Specialization
State
Status
231425
Anesthesia Administration
Texas
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Christus St Michael Health System (450801)
Texarkana, TX
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Gary L Jackson has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Northstar Anesthesia Pa (7315907128)
232
Other Medical Identifiers:
Other legacy medical identifiers associated with Gary L Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
83137C
Other
Texas
BLUE CROSS
84320
Other
Arkansas
BLUE CROSS
002851601
Medicaid
Texas
117307701
Medicaid
Arkansas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4100 Summerhill Rd, Texarkana, Texas
Zip:
75503-2732
Phone Number:
903-735-9802
Fax Number:
903-735-9806
Patients can reach Gary L Jackson at 4100 Summerhill Rd, Texarkana, Texas or can call to book an appointment on 903-735-9802.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.