Individual
JACK MERLIN JACOBSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
511 OAKWOOD BLVD, SUITE 103, ROUND ROCK, TX 78681-4007
(512) 244-0161
(512) 244-7814
Mailing address
511 OAKWOOD BLVD, SUITE 103, ROUND ROCK, TX 78681-4007
(512) 244-0161
(512) 244-7814
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
C6380
TX
Other
Enumeration date
11/17/2005
Last updated
07/08/2007
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