Individual
JACOB ROBERT MCANALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 8TH ST, GALVESTON, TX 77555-0001
(409) 772-4196
Mailing address
PO BOX 650859, DALLAS, TX 75265-0859
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
BP10089829
TX
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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