Individual
MELISSA FORBES JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
837 FM 1960 WEST, SUITE 105, HOUSTON, TX 77090-0000
(281) 586-3888
(281) 440-2028
Mailing address
P.O. BOX 4356, DEPARTMENT 667, HOUSTON, TX 77210-4356
(281) 586-3888
(281) 440-2028
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
1535
SC
363AM0700X
Medical Physician Assistant
Primary
PA07478
TX
363AM0700X
Medical Physician Assistant
TL1535
SC
Other
Enumeration date
07/08/2010
Last updated
10/10/2019
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