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Individual
DR. MICHAEL JOSEPH JACOBS
Active
Individual
DR. MICHAEL JOSEPH JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN FNP-C ENP-C DNP
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
577699
TX
363LF0000X
Family Nurse Practitioner
Primary
AP117607
TX
363LF0000X
Family Nurse Practitioner
CNP01504
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200290904
—
TX
01
—
TXB138841
MEDICARE
TX
Enumeration date
08/09/2008
Last updated
05/09/2022
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