Individual
DR. DON JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4000 NEW BOSTON RD, TEXARKANA, TX 75501-2819
(903) 832-0783
Mailing address
PO BOX 885, NASH, TX 75569-0885
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3483T
TN
Other
Enumeration date
10/05/2012
Last updated
01/17/2017
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