Antony, Michael Jacob
Antony, Michael Jacob is an sole proprietor health care provider with primary practice located at 1515 Holcombe Blvd , Houston TX 77030-4000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Antony, Michael Jacob can be contacted via phone (877) 632-6789.Contact Information
Primary practice address
1515 Holcombe Blvd
Houston TX 77030-4000
Phone: (877) 632-6789
Fax: (409) 772-5462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | BP10070767 | Texas |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | BP20085302 | Texas |
Profile Details
| NPI number | 1780209361 |
|---|---|
| LBN Legal business name | Antony, Michael Jacob |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2020 |
| Last updated | Jun 28th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780209361 | NPPES |
| Texas | Other | BP10070767 | PHYSICIAN IN TRAINING |
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