Organization
MYPSYCH MENTAL HEALTH, PLLC
Active
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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