Individual
JOE JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
8231 SONESTA POINT LANE, HOUSTON, TX 77083
(832) 716-7924
Mailing address
8231 SONESTA POINT LANE, HOUSTON, TX 77083
(832) 716-7924
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
775217
TX
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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