Martin Jackson Dpm Psc

NPI #1992003016 in Mesquite, Texas

Provider Information

NPI Number: 1992003016
Entity Type: Organization
Organization Name: Martin Jackson Dpm Psc
Primary Specialty: Podiatrist
Enumeration Date: Mar 14, 2011
Last Updated: Mar 14, 2011

Practice Location

Address: 1675 REPUBLIC PKWY STE 101
City: Mesquite
State: Texas
ZIP Code: 75150-6902
Phone: (214) 478-8483

Authorized Official

Name: MARTIN JACKSON
Title: OWNER
Phone: (214) 478-8483

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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