Individual
DONALD JACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
109 E AVENUE J, ROBSTOWN, TX 78380-2347
(361) 387-1531
Mailing address
8029 ETIENNE DR, CORPUS CHRISTI, TX 78414-6027
(361) 299-5777
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16198
TX
Other
Enumeration date
06/15/2005
Last updated
07/09/2007
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