Edward E Jacobson MD

NPI 1013984319 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1013984319
Gender Male
Enumeration Date 03/06/2006
Last Updated 09/06/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1111 N 6TH ST
LONGVIEW TX, 75601-5537, US
Phone (903) 758-0731
Fax (903) 758-1369
Business Location
PO BOX 847176
DALLAS TX, 75284-7176, US
Phone (903) 237-1800
Fax (903) 237-1810
Toxanomy
Taxonomy Code 207V00000X
License State Texas
License Number E2633
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According to our database, Dr. Edward E Jacobson MD NPI is 1013984319, taxonomy code is 207V00000X and license number is E2633, license state is located at Texas. Edward E Jacobson MD physically located at 1111 N 6th St, Longview TX, 75601-5537. NPI Number Edward E Jacobson MD has the Individual type.

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1013984319 NPI number is provided on an as is basis without warranty of any kind. 1013984319 is maintained by the National Plan & Provider Enumeration System. The contents of Edward E Jacobson MD are for informational purposes only.