<Unavail>
LBN: Alexis D. Jacob, M.D., P.L.L.C.
<Unavail> is an health care organization with primary practice located at 4001 W 15Th St Ste 335 , Plano TX 75093-5859. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is the primary health care specialty.
Alexis D. Jacob, M.D., P.L.L.C. can be contacted via phone (469) 562-1992, or through Jacob, Alexis D via phone (281) 686-9406.
Contact Information
Primary practice address
4001 W 15Th St Ste 335
Plano TX 75093-5859
Phone: (469) 562-1992
Fax: (469) 249-3510
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | ||
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X |
Profile Details
| NPI number | 1518526003 |
|---|---|
| LBN Legal business name | Alexis D. Jacob, M.D., P.L.L.C. |
| DBA Doing business as | <Unavail> |
| Authorized official | Jacob, Alexis D Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 10th, 2019 |
| Last updated | Aug 13th, 2021 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518526003 | NPPES |
| Texas | MEDICAID | 402462YYW |
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