Individual
LEAH JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15316 HUEBNER RD STE 102, SAN ANTONIO, TX 78248-0988
(210) 479-9292
(210) 479-9294
Mailing address
19238 STONEHUE, SAN ANTONIO, TX 78258-3447
(210) 494-2223
(210) 941-0142
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K7772
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105395101
—
TX
Enumeration date
08/24/2006
Last updated
04/14/2022
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