Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Richard G. Jaeckle, MD, PA

Organization Specialist · NPI 1356455406

Richard G. Jaeckle, MD, PA provides Specialist services in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8220 Walnut Hill Ln Ste 404
Dallas, TX 75231-4427
Phone: (214) 696-0964
Fax: (214) 696-1094
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence C9022 (TX)

Record details

NPI number1356455406
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Jaeckle — President · (214) 696-0964
NPI enumeratedAugust 18, 2006
Last updated in NPPESAugust 22, 2020
Mailing address8220 Walnut Hill Ln, Suite 404, Dallas, TX 75231-4427

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