Individual
TRACY F JAKOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18300 KATY FWY, SUITE 305, HOUSTON, TX 77094-1385
(281) 578-1910
(281) 578-1774
Mailing address
14140 SOUTHWEST FWY STE 200, SUGAR LAND, TX 77478-3842
(281) 649-7000
(713) 484-6649
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
H4331
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118067103
—
TX
01
—
TXB166198
MEDICARE -GROUP
TX
Enumeration date
11/29/2005
Last updated
10/21/2019
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