Individual
MR. SAJISH EAPEN JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
811 W INTERSTATE 20 STE 224, ARLINGTON, TX 76017-5873
(817) 641-6000
(817) 419-4501
Mailing address
811 W INTERSTATE 20 STE 224, ARLINGTON, TX 76017-5873
(817) 641-6000
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
MD 51595
TN
2084N0600X
Clinical Neurophysiology Physician
Primary
R9782
TX
Other
Enumeration date
07/29/2009
Last updated
10/28/2019
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