Individual
DR. MOHAN JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18955 MEMORIAL NORTH, SUITE 440, HUMBLE, TX 77338
(281) 446-5555
(281) 548-1002
Mailing address
18955 MEMORIAL NORTH, SUITE 440, HUMBLE, TX 77338
(281) 446-5555
(281) 548-1002
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
020876
GA
207RC0000X
Cardiovascular Disease Physician
Primary
G5935
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133869101
—
TX
Enumeration date
04/27/2006
Last updated
10/19/2007
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