Individual
MATTHEW W JACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
101 N US HIGHWAY 75, DENISON, TX 75020-1544
(903) 463-1000
(833) 974-2040
Mailing address
8135 FOREST LN # 515057, DALLAS, TX 75230-2472
(469) 850-5760
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
1782
TX
213EP1101X
Primary Podiatric Medicine Podiatrist
1782
TX
213ES0000X
Sports Medicine Podiatrist
1782
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1782
TX
213ES0131X
Foot Surgery Podiatrist
1782
TX
Other
Enumeration date
02/20/2006
Last updated
12/04/2023
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