Individual
JAYMI ANN JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9549 SAGE MEADOW TRL, FORT WORTH, TX 76177-8595
(469) 441-7713
Mailing address
9549 SAGE MEADOW TRL, FORT WORTH, TX 76177-8595
(817) 428-4182
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10434
TX
Other
Enumeration date
09/19/2021
Last updated
01/04/2023
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