IndividualActive
Lance Jackson, M.D., F.A.C.S.
NPI 1174554521 · Otology & Neurotology Physician · San Antonio, TX
Provider details
- NPI number
- 1174554521
- Entity type
- Individual
- Primary specialty
- Otology & Neurotology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., F.A.C.S.
- Sex
- Male
- Sole proprietor
- No
- License
- L5777 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Other Service Providers
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
18518 Hardy Oak
Suite 300
San Antonio, TX 78258-4271
Phone: (210) 696-4327
Fax: (210) 798-2509
Approximate (ZIP-level) locationGet directions
Mailing address
18518 Hardy Oak
San Antonio, TX 78258-4271
Registry dates
- Enumerated
- 2006-07-05
- Last updated
- 2013-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.