Individual
DR. CINDY S JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1259 FM 1463 RD STE 400, KATY, TX 77494-5480
(832) 695-9400
(888) 720-2860
Mailing address
1259 FM 1463 RD STE 400, KATY, TX 77494-5480
(832) 695-9400
(888) 720-2860
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N1691
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204948801
—
TX
01
—
8L17482
MEDICARE ID
TX
Enumeration date
04/13/2007
Last updated
07/02/2024
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