Shushan B Jacob MD

NPI 1114119542 - Surgery - 208600000X

NPI Details
NPI 1114119542
Gender Female
Enumeration Date 08/09/2007
Last Updated 07/16/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
902 W RANDOL MILL RD STE 120
ARLINGTON TX, 76012-2579, US
Phone (817) 801-1503
Fax (817) 801-1508
Business Location
902 W RANDOL MILL RD STE 120
ARLINGTON TX, 76012-2579, US
Phone (817) 801-1503
Fax (817) 801-1508
Toxanomy
Taxonomy Code 208600000X
License State Texas
License Number N7548
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According to our database, Dr. Shushan B Jacob MD NPI is 1114119542, taxonomy code is 208600000X and license number is N7548, license state is located at Texas. Shushan B Jacob MD physically located at 902 W Randol Mill Rd Ste 120, Arlington TX, 76012-2579. NPI Number Shushan B Jacob MD has the Individual type.

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1114119542 NPI number is provided on an as is basis without warranty of any kind. 1114119542 is maintained by the National Plan & Provider Enumeration System. The contents of Shushan B Jacob MD are for informational purposes only.