Individual
DR. BRIAN CLARK JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1910 STATE HIGHWAY 43 E, HENDERSON, TX 75652-9106
(903) 657-3139
(903) 655-0699
Mailing address
1910 STATE HIGHWAY 43 E, HENDERSON, TX 75652-9106
(903) 657-3139
(903) 655-0699
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23922
TX
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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