Lee Jackson Enterprises
Lee Jackson Enterprises is a Prosthetics Case Management in Dallas, Texas. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 4
Practice location Address checks out
3626 N Hall St Ste 610Dallas, TX 75219-5131
Phone: (866) 301-1456
Fax: (469) 898-6344
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Specialties & licences
| Phlebotomy Technician (primary) | Taxonomy 246RP1900X |
|---|---|
| Prosthetics Case Management | Taxonomy 1744P3200X |
| Mastectomy Fitter | Taxonomy 224900000X |
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
Record details
| NPI number | 1437877362 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nikia Autry — Managing Member · (866) 301-1456 |
| NPI enumerated | August 17, 2022 |
| Last updated in NPPES | October 22, 2024 |
| Certification date | October 22, 2024 |
| Mailing address | 3626 N Hall St Ste 610, Dallas, TX 75219-5131 |
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