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MARTIN JACKSON DPM PSC NPI 1992003016


NPI Information

NPI: 1992003016
Provider Name: MARTIN JACKSON DPM PSC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1675 REPUBLIC PKWY STE 101
MESQUITE, TX
ZIP 75150
Phone: (214) 478-8483
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MARTIN JACKSON DPM PSC is a podiatrist in Mesquite, TX. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. MARTIN JACKSON DPM PSC NPI is 1992003016. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1675 REPUBLIC PKWY STE 101
MESQUITE, TX
ZIP 75150-902
Phone: (214) 478-8483
Fax: (714) 903-7801

The provider's authorized official is Martin Jackson .
The authorized official title is Owner and has the following contact phone number (214) 478-8483.

The enumeration date for this NPI number is 3/14/2011 and was last updated on 3/14/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist1239TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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