Individual
DR. PHILIP M JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
J9107
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117795804
—
TX
05
—
117795806
—
TX
01
—
117795807
CSHCN
TX
01
—
5599663
AETNA
TX
01
—
8K6275
BCBS
TX
01
—
9274819
CIGNA
TX
01
—
P00062671
RAILROAD MEDICARE
TX
Enumeration date
06/08/2006
Last updated
01/18/2017
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