Individual
DR. HEATH OWEN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1008 PALUXY RD, GRANBURY, TX 76048-2397
(817) 573-7178
Mailing address
1008 PALUXY RD, GRANBURY, TX 76048-2397
(817) 573-7178
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
3174
TX
Other
Enumeration date
06/25/2019
Last updated
08/01/2022
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