Organization
DR MIJA JACKSON LEE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIJA JACKSON LEE O.D. (OWNER)
(972) 572-9555
Entity
Organization
Contact information
Practice address
250 W HIGHWAY 67, DUNCANVILLE, TX 75137-4415
(972) 572-9555
(972) 572-5505
Mailing address
250 W HIGHWAY 67, DUNCANVILLE, TX 75137-4415
(972) 572-9555
(972) 572-5505
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6034 TG
TX
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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