Individual
DR. EDWARD E JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 N 6TH ST, LONGVIEW, TX 75601-5537
(903) 758-0731
(903) 758-1369
Mailing address
PO BOX 847176, DALLAS, TX 75284-7176
(903) 237-1800
(903) 237-1810
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E2633
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129543807
—
TX
Enumeration date
03/06/2006
Last updated
09/06/2012
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