Organization
MIKAEL JACOBSON, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKAEL JACOBSON M.D. (PRESIDENT)
(210) 593-1530
Entity
Organization
Contact information
Practice address
4242 MEDICAL DR, STE 1150, SAN ANTONIO, TX 78229-5640
(210) 593-1530
Mailing address
2827 BRIARFIELD DR, SAN ANTONIO, TX 78230-4411
(210) 593-1530
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
L5386
TX
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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