Individual
ERIK JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 SAINT MICHAEL DR, TEXARKANA, TX 75503-2372
(903) 614-1000
Mailing address
PO BOX 2018, AUSTIN, TX 78768-2018
(512) 305-7010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M0117
TX
Other
Enumeration date
06/17/2006
Last updated
01/25/2008
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