Individual
DR. BRANDON ROBERT JAKUBOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6201 HARRY HINES BLVD, DALLAS, TX 75390-4822
(214) 633-5555
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A178338
CA
207R00000X
Internal Medicine Physician
S1828
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A178338
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
S1828
TX
207RP1001X
Pulmonary Disease Physician
A178338
CA
207RP1001X
Pulmonary Disease Physician
Primary
S1828
TX
390200000X
Student in an Organized Health Care Education/Training Program
S1828
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/22/2016
Last updated
08/05/2024
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