Individual
MR. JACOB GEORGE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(713) 873-2000
Mailing address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
OA002549
PA
363A00000X
Physician Assistant
Primary
PA07034
TX
363AM0700X
Medical Physician Assistant
MA054656
PA
Other
Enumeration date
01/10/2011
Last updated
07/02/2014
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