Organization
JACOB TAL, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB TAL MD (PRESIDENT)
(713) 464-1845
Entity
Organization
Contact information
Practice address
23920 KATY FWY, SUITE 460, KATY, TX 77494-1341
(713) 464-1845
(281) 392-5081
Mailing address
23920 KATY FWY, SUITE 460, KATY, TX 77494-1341
(713) 464-1845
(281) 392-5081
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F7630
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025NG
BC/BS
TX
05
—
099716503
—
TX
Enumeration date
02/18/2008
Last updated
06/03/2008
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