Individual
DR. JAMES MICHAEL JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
23230 RED RIVER DR, KATY, TX 77494-2046
(281) 395-3338
(281) 395-3496
Mailing address
23230 RED RIVER DR, KATY, TX 77494-2046
(281) 221-0662
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
1064
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018651201
MEDICAID PIN
TX
05
—
081651201
—
TX
01
—
5476250001
MEDICARE NSC
TX
Enumeration date
06/17/2005
Last updated
01/06/2022
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