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Individual

MARK A JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2201 W HOLCOMBE BLVD STE 330, HOUSTON, TX 77030-2030
(713) 799-1635
(713) 799-1611
Mailing address
7900 FANNIN ST, 4000, HOUSTON, TX 77054-2934
(713) 512-7000
(713) 512-7082

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E8588
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1170938-04
TX
01
160040448
MEDICARE RAILROAD
TX
01
83052G
BLUE CROSS & BLUE SHIELD
TX
Enumeration date
06/01/2005
Last updated
01/20/2026
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