Individual
JACOB FUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
409 SANDHURST DR, CROWLEY, TX 76036-1387
(361) 688-7479
Mailing address
409 SANDHURST DR, CROWLEY, TX 76036-1387
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
94920
TX
Other
Enumeration date
05/28/2026
Last updated
05/28/2026
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