Organization
ALEXIS D. JACOB, M.D., P.L.L.C.
Active
Other names
Vascular Associates of North Texas
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS D JACOB MD (OWNER)
(281) 686-9406
Entity
Organization
Contact information
Practice address
4001 W 15TH ST STE 335, PLANO, TX 75093-5859
(469) 562-1992
(469) 249-3510
Mailing address
1900 MCKINNEY AVE APT 1011, DALLAS, TX 75201-1718
(281) 686-9406
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402462YYW
—
TX
Enumeration date
06/10/2019
Last updated
08/13/2021
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