Individual
BOBBY JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 PERSIMMON AVE, EDINBURG, TX 78539-3450
(956) 867-7169
Mailing address
510 PERSIMMON AVE, EDINBURG, TX 78539-3450
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1290887
TX
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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