Organization
PODIATRY CONSULTANTS OF TEXAS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES M. JACOBS DPM (MEDICAL DIRECTOR)
(866) 950-3627
Entity
Organization
Contact information
Practice address
1331 W GRAND PKWY N, STE 145, KATY, TX 77493-2717
(866) 950-3627
(800) 652-8206
Mailing address
1450 W GRAND PKWY S, G-240, KATY, TX 77494-8300
(866) 950-3627
(800) 652-8206
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182737003
—
TX
01
—
DF4589
RAIL RD. MEDICARE
TX
Enumeration date
05/04/2006
Last updated
10/05/2012
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