Tal, Jacob
Tal, Jacob is an sole proprietor health care provider with primary practice located at 23960 Katy Fwy Suite 350, Katy TX 77494-1339. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Tal, Jacob can be contacted via phone (713) 464-1845.Contact Information
Primary practice address
23960 Katy Fwy Suite 350
Katy TX 77494-1339
Phone: (713) 464-1845
Fax: (281) 392-5081
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | F7630 | Texas |
Profile Details
| NPI number | 1487655411 |
|---|---|
| LBN Legal business name | Tal, Jacob |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2005 |
| Last updated | Dec 2nd, 2016 - about 10 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 | 1487655411 | NPPES |
| Texas | Other | 0025NG | BCBS |
| Texas | MEDICAID | 179782101 | BCBS |
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