DAVID NATHAN JACKSON

TYLER, TX
NPI1548456502
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: TX  1156269)
Enumeration Date2007-09-23
Last Update Date2012-09-04
Business Address
DAVID NATHAN JACKSON PT
7922 S BROADWAY AVE
TYLER, TX 75703-5242
Phone number: 903-983-7775
Mailing Address
DAVID NATHAN JACKSON PT
PO BOX 6336
TYLER, TX 75711-6336
Phone number: 903-388-8378
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