Dr Mija Jackson Lee Pllc

NPI #1093005183 in Duncanville, Texas

Provider Information

NPI Number: 1093005183
Entity Type: Organization
Organization Name: Dr Mija Jackson Lee Pllc
Primary Specialty: Optometrist
Enumeration Date: Apr 11, 2011
Last Updated: Apr 11, 2011

Practice Location

Address: 250 W HIGHWAY 67
City: Duncanville
State: Texas
ZIP Code: 75137-4415
Phone: (972) 572-9555

Authorized Official

Name: DR. MIJA JACKSON LEE, O.D.
Title: OWNER
Phone: (972) 572-9555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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