Individual
DR. ERIC B JACOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3108 MIDWAY RD STE 201, PLANO, TX 75093-1613
(972) 473-2020
(972) 473-2077
Mailing address
P.O. BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8450
(817) 378-3699
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
K2501
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096500602
—
TX
05
—
1386732683
—
TX
Enumeration date
07/20/2005
Last updated
07/21/2022
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