Individual
ALEXANDER PAUL JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
700 OLYMPIC PLAZA CIR STE 503, TYLER, TX 75701-1952
(903) 596-3686
Mailing address
700 OLYMPIC PLAZA CIR STE 503, TYLER, TX 75701-1952
(903) 596-3686
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
T7954
TX
208100000X
Physical Medicine & Rehabilitation Physician
Primary
T7954
TX
Other
Enumeration date
06/12/2018
Last updated
06/21/2023
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