Organization
MARTIN JACKSON DPM PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN JACKSON (OWNER)
(214) 478-8483
Entity
Organization
Contact information
Practice address
1675 REPUBLIC PKWY STE 101, MESQUITE, TX 75150-6902
(214) 478-8483
(714) 903-7801
Mailing address
PO BOX 797512, DALLAS, TX 75379-7512
(214) 478-8483
(714) 903-7801
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1239
TX
Other
Enumeration date
03/14/2011
Last updated
03/14/2011
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