# ALEXIS D. JACOB, M.D., P.L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vascular Associates of North Texas
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518526003
- **Authorized official:** ALEXIS D JACOB MD (OWNER)
- **Authorized official phone:** (281) 686-9406

## Contact information

- **Practice address:** 4001 W 15TH ST STE 335, PLANO, TX 75093-5859
- **Practice address phone:** (469) 562-1992
- **Practice address fax:** (469) 249-3510
- **Mailing address:** 1900 MCKINNEY AVE APT 1011, DALLAS, TX 75201-1718
- **Mailing address phone:** (281) 686-9406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | NULL | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/10/2019
- **Last updated:** 08/13/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 402462YYW | — | TX |