Jacobs, Mark A
Jacobs, Mark A is an individual health care provider with primary practice located at 7580 Fannin St Ste 210 , Houston TX 77054-1939. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Jacobs, Mark A can be contacted via phone (137) 799-2515.Contact Information
Primary practice address
7580 Fannin St Ste 210
Houston TX 77054-1939
Phone: (137) 799-2515
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | E8588 | Texas |
Profile Details
| NPI number | 1073515201 |
|---|---|
| LBN Legal business name | Jacobs, Mark A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Oct 30th, 2019 - about 5 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 | 1073515201 | NPPES |
| Texas | Other | 160040448 | MEDICARE RAILROAD |
| Texas | MEDICAID | 1170938-04 | MEDICARE RAILROAD |
| Texas | Other | 83052G | MEDICARE RAILROAD |
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