Individual
ROY G JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
602 INDIANA AVE, LUBBOCK, TX 79415-3364
(806) 775-8400
Mailing address
602 INDIANA AVE, LUBBOCK, TX 79415-3364
(806) 775-8400
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
P7288
TX
2085P0229X
Pediatric Radiology Physician
25650
OK
2085P0229X
Pediatric Radiology Physician
Primary
P7288
TX
2085R0202X
Diagnostic Radiology Physician
25650
OK
2085R0202X
Diagnostic Radiology Physician
P7288
TX
Other
Enumeration date
06/20/2007
Last updated
03/11/2026
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