Organization
MARTIN JACKSON DPM PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN N JACKSON DPM (PHYSICIAN)
(972) 270-7627
Entity
Organization
Contact information
Practice address
9300 LAKEVIEW PKWY, ROWLETT, TX 75088-4476
(972) 475-4700
(972) 412-2122
Mailing address
1675 REPUBLIC PKWY, STE. 101, MESQUITE, TX 75150-6903
(972) 270-7627
(972) 270-7759
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
1239
TX
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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