Individual
JACOB DAVID ORNELAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
220 E. HARRIS, SAN ANGELO, TX 76903
(325) 481-2285
(325) 481-2165
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
(325) 481-2165
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
P1379
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302067901
—
TX
01
—
8DF258
BCBS
TX
01
—
TXB156948
MEDICARE
TX
Enumeration date
07/02/2008
Last updated
08/09/2023
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