Jacob, Surya
Jacob, Surya is an individual health care provider with primary practice located at 18440 W Airport Blvd Ste 350 , Richmond TX 77407-5100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jacob, Surya can be contacted via phone (281) 240-8374.Contact Information
Primary practice address
18440 W Airport Blvd Ste 350
Richmond TX 77407-5100
Phone: (281) 240-8374
Fax: (281) 208-9504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | R8018 | Texas |
Profile Details
| NPI number | 1699161273 |
|---|---|
| LBN Legal business name | Jacob, Surya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2015 |
| Last updated | Jan 26th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699161273 | NPPES |
| Texas | MEDICAID | 386566901 |
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