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Greg L Jackson — NPI 1063580843, Addison, TX | NPI Central

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NPI 1063580843

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Greg L Jackson

NPI 1063580843 · Parenteral & Enteral Nutrition Supplies (DME) · Addison, TX

Provider details

NPI number: 1063580843
Entity type: Organization
Primary specialty: Parenteral & Enteral Nutrition Supplies (DME)Suppliers
Organization subpart: No
Authorized official: Greg Jackson, Ceo(972) 380-2065

Specialties & taxonomies

Parenteral & Enteral Nutrition Supplies (DME)Primary332BP3500X
Suppliers
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers

Practice location

4386 Sunbelt Dr

Addison, TX 75001

Phone: (972) 380-2065

Fax: (972) 380-9488

Approximate (ZIP-level) locationGet directions

More TX providers

Mailing address

4386 Sunbelt Dr

Addison, TX 75001

Other names (DBA / former)

Doing business as: Star Medical Specialties
Doing business as: Star Medical Specialties

Registry dates

Enumerated: 2006-12-01
Last updated: 2018-10-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.