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Organization
HEARTLAND MOBILITY
Active
Organization
HEARTLAND MOBILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON DOUGLAS JACKSON (OWNER)
(214) 392-2994
Entity
Organization
Contact information
Practice address
405 LIBERTY PL, GRAND PRAIRIE, TX 75052-5731
(214) 392-2994
Mailing address
2307 OAK LN, 100 2A, GRAND PRAIRIE, TX 75051-4885
(214) 392-2994
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
11/05/2008
Last updated
02/05/2009
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