Individual
BENJAMIN JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6621 FANNIN ST, MC B17320, HOUSTON, TX 77030-2358
(832) 824-1000
(832) 825-1107
Mailing address
6621 FANNIN ST, MC B17320, HOUSTON, TX 77030-2358
(832) 824-1000
(832) 825-1107
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
TX
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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