Organization
ADVANCED PODIATRY ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASIA JACKSON DPM (PHYSICIAN)
(817) 596-5077
Entity
Organization
Contact information
Practice address
1412 S MAIN ST, WEATHERFORD, TX 76086-5531
(817) 596-5077
(817) 598-0673
Mailing address
1412 S MAIN ST, WEATHERFORD, TX 76086-5531
(817) 596-5077
(817) 598-0673
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
10/25/2018
Last updated
07/07/2023
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