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Organization

MYPSYCH MENTAL HEALTH, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MIKAEL JAMES JACOBSON MD (MEDICAL DOCTOR)
(210) 363-5471
Entity
Organization

Contact information

Practice address
8026 FLOYD CURL DR, SAN ANTONIO, TX 78229
(210) 990-1142
Mailing address
8407 BANDERA ROAD STE 103, BOX 103448, SAN ANTONIO, TX 78250
(210) 990-1142

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
L5386
TX
2084P0800X
Psychiatry Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
164124306
TX
Enumeration date
09/16/2015
Last updated
04/23/2024
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