NPI 1437877362
Lee Jackson Enterprises
Practice location
- Address
- 3626 N Hall St STE 610, Dallas, TX 75219-5131
- Phone
- (866) 301-1456
- Fax
- (469) 898-6344
Authorised official
- Name
- Nikia Autry
- Title
- Managing Member
- Phone
- (866) 301-1456
Registered specialties (4)
Phlebotomy Technician
Primary
Prosthetics Case Management
Mastectomy Fitter
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1437877362
- Entity type
- Organization
- NPI issued
- 17 Aug 2022
- Record last updated
- 22 Oct 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.