Organization
MOHAN JACOB,M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAN JACOB M.D. (PRESIDENT)
(281) 446-5555
Entity
Organization
Contact information
Practice address
18955 MEMORIAL NORTH, SUITE 440, HUMBLE, TX 77338-4271
(281) 446-5555
Mailing address
18955 N MEMORIAL DR, SUITE 440, HUMBLE, TX 77338-4271
(281) 446-5555
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G5935
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082533301
—
TX
Enumeration date
10/19/2007
Last updated
12/31/2009
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