Individual
ASIA N JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M
Contact information
Practice address
750 EUREKA ST STE C, WEATHERFORD, TX 76086-6521
(817) 596-5077
(817) 598-0673
Mailing address
750 EUREKA ST STE C, WEATHERFORD, TX 76086-6521
(817) 596-5077
(817) 598-0673
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2155
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
PR282
FL
Other
Enumeration date
10/17/2012
Last updated
01/03/2022
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