Individual
JACOB ISRAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5001 N PIEDRAS ST, EL PASO, TX 79930-4210
(915) 564-6159
Mailing address
3407 LANKMOORE AVE, EL PASO, TX 79904-1017
(915) 996-4793
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD2019-0789
NM
Other
Enumeration date
05/02/2015
Last updated
10/30/2020
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