Caylor, Jacob Russell

Caylor, Jacob Russell is an individual health care provider with primary practice located at 1401 Medical Pkwy Ste 345 , Cedar Park TX 78613-7763. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Caylor, Jacob Russell can be contacted via phone (855) 876-7246.

Contact Information

Primary practice address
1401 Medical Pkwy Ste 345 Cedar Park TX 78613-7763
Phone: (855) 876-7246
Fax: (855) 277-5070
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A152887 California
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD61170608 Washington
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X T9363 Texas

Profile Details

NPI number 1013370717
LBN Legal business name Caylor, Jacob Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2016
Last updated Mar 10th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013370717 NPPES
Texas Other 2J6973 TEXAS MEDICARE PTAN
Texas Other 2J6974 TEXAS MEDICARE PTAN

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