Individual
H. NEIL JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17440 DALLAS PKWY, SUITE 208, DALLAS, TX 75287-7336
(972) 248-1717
(972) 248-4599
Mailing address
17440 DALLAS PKWY, SUITE 208, DALLAS, TX 75287-7336
(972) 248-1717
(972) 248-4599
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G7244
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127960605
—
TX
01
—
264088609
TAX ID
—
01
—
752303564
TAX ID
—
Enumeration date
07/25/2006
Last updated
11/14/2014
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