DR. Richard Pharus Jackson, O.D.

NPI #1972616134 in Anthony, Texas

Provider Information

NPI Number: 1972616134
Entity Type: Individual
Name: DR. Richard Pharus Jackson, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 216 W WASHINGTON ST
City: Anthony
State: Texas
ZIP Code: 79821-9304
Phone: (915) 886-3005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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