Individual
JACOB G THOELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP-C
Contact information
Practice address
910 E HOUSTON ST STE 550, TYLER, TX 75702-8366
(903) 606-8718
(903) 606-1218
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP137474
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
391691801
—
TX
01
—
8KC686
BCBS
TX
01
—
P02137154
MEDICARE RAIL ROAD
TX
Enumeration date
09/05/2018
Last updated
12/30/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us