Organization
DIAGNOSTIC RADIOLOGY OF NACOGDOCHES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORRIS K JACKSON MD PHD (OWNER)
(936) 462-9902
Entity
Organization
Contact information
Practice address
602 HURST, CENTER, TX 75935
(936) 598-2781
Mailing address
PO BOX 1888, GREENVILLE, TX 75403
(800) 945-2455
(903) 453-2541
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
05/02/2006
Last updated
11/02/2007
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