Individual
DR. JESSE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4525 HERITAGE TRACE PKWY, SUITE 101, FORT WORTH, TX 76244-8908
(817) 431-5100
Mailing address
9921 BEND CT, FORT WORTH, TX 76177-7329
(214) 636-6906
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12301
TX
Other
Enumeration date
11/07/2013
Last updated
06/16/2016
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