Individual
MRS. DEBORAH ANN JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2800 NORTH LOOP W STE 600, HOUSTON, TX 77092-8814
(832) 553-3466
Mailing address
2800 NORTH LOOP W STE 600, HOUSTON, TX 77092-8814
(832) 553-3466
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
721257
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22906409
DRIVERS LICENSE
TX
Enumeration date
11/20/2019
Last updated
11/20/2019
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