Individual
BETH A JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R. PH.
Contact information
Practice address
221 W COLORADO BLVD, SUITE 445, DALLAS, TX 75208-2363
(214) 947-2435
(214) 947-2436
Mailing address
4116 MYERWOOD LN, DALLAS, TX 75244-7335
(214) 908-6824
(972) 243-3177
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23784
TX
Other
Enumeration date
08/13/2006
Last updated
09/08/2008
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