Individual
JACKSON HERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
3929 S BROADWAY AVE, TYLER, TX 75701-8716
(903) 944-7846
(806) 785-4327
Mailing address
5303 50TH ST, LUBBOCK, TX 79414-1817
(806) 799-1484
(806) 785-4327
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
81099
TX
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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