| NPI | 1740790336 |
|---|---|
| Former Legal Business Name | MD JACKMAN OD AND ASSOCIATES, PLLC |
| Entity Type | Organization |
| Authorized Contact | MADISON LUCE HUSER Owner/Doctor 512-323-6996 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 8073-TG) |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2017-10-09 |