Individual
JACOB AARON MICHAEL WADDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3634 GLENN LAKES LN, MISSOURI CITY, TX 77459-4062
(254) 715-9101
Mailing address
5401 RAMPART ST APT 314, HOUSTON, TX 77081-1321
(254) 715-9101
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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