Individual
DHANYA MARY JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
110 MEMORIAL HOSPITAL DR, HUNTSVILLE, TX 77340-4940
(936) 291-4204
Mailing address
172 RAVENWOOD VILLAGE DR APT 621, HUNTSVILLE, TX 77340-1637
(210) 859-2389
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
BP10090705
TX
Other
Enumeration date
05/28/2024
Last updated
01/21/2025
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