Individual
BENJAMIN T JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
1600 COULTER, BLDG. A #105, AMARILLO, TX 79106
(806) 352-2321
(806) 355-8941
Mailing address
5303 50TH ST, LUBBOCK, TX 79414-5823
(806) 799-8950
(806) 799-8939
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
80291
TX
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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