Organization
ROBERT K JACOBS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT KENAN JACOBS M.D. (PRESIDENT)
(915) 533-1630
Entity
Organization
Contact information
Practice address
1201 E SCHUSTER AVE, BUILDING 3A, EL PASO, TX 79902-4672
(915) 533-1630
(915) 533-4116
Mailing address
1201 E SCHUSTER AVE, BUILDING 3A, EL PASO, TX 79902-4672
(915) 533-1630
(915) 533-4116
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
F1069
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089848802
—
TX
Enumeration date
05/08/2012
Last updated
05/08/2012
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