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Organization
ARIS N JACOB MD PA
Active
Organization
ARIS N JACOB MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARIS JACOB M.D. (PRESIDENT)
(214) 547-7557
Entity
Organization
Contact information
Practice address
1105 CENTRAL EXPY N, SUITE 2360, ALLEN, TX 75013-6103
(214) 547-7557
Mailing address
PO BOX 1554, ADDISON, TX 75001-1554
(972) 991-9950
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
L2343
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0095QV
BCBS
TX
05
—
174954101
—
TX
01
—
DD7197
RR MEDICARE
TX
Enumeration date
02/27/2007
Last updated
09/04/2008
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