Individual
MALLORY ANTOINETTE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 N COIT RD STE 302, MCKINNEY, TX 75071-6656
(917) 634-5311
Mailing address
PO BOX 24449, NEW YORK, NY 10087-0589
(917) 634-5311
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
S2070
TX
Other
Enumeration date
05/07/2015
Last updated
10/29/2024
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