Individual
MRS. THERESA JASSIM JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, GNP
Contact information
Practice address
24275 KATY FWY STE 400, KATY, TX 77494-7267
(346) 387-7171
(844) 703-5305
Mailing address
24275 KATY FWY STE 400, KATY, TX 77494-7267
(346) 387-7171
(844) 703-5305
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP119331
TX
Other
Enumeration date
08/31/2010
Last updated
01/31/2018
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