Individual
DR. MELISSA ANN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2825 OAK LAWN AVE UNIT 192749, DALLAS, TX 75219-4688
(844) 389-5711
(877) 880-2039
Mailing address
2825 OAK LAWN AVE UNIT 192749, DALLAS, TX 75219-4688
(844) 389-5711
(877) 880-2039
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD27648
OR
2085R0202X
Diagnostic Radiology Physician
R0877
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218448
—
OR
Enumeration date
01/29/2007
Last updated
09/10/2024
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