Individual
ASHLEY M JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4461 COIT RD, SUITE 405, FRISCO, TX 75035-0521
(972) 377-9200
(972) 377-9300
Mailing address
4461 COIT RD, SUITE 405, FRISCO, TX 75035-0521
(972) 377-9200
(972) 377-9300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08212
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA08212
NCCPA
TX
Enumeration date
04/12/2013
Last updated
04/12/2013
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