Individual
ARUN JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1213 E TRINITY MILLS RD STE 173, CARROLLTON, TX 75006-1446
(972) 962-1296
Mailing address
PO BOX 746079, ATLANTA, GA 30374-6079
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
P1088
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
328076001 (MDACC)
—
TX
01
—
8DV979
BCBS (MDACC)
TX
Enumeration date
11/30/2011
Last updated
02/01/2024
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