Jacob, Liciamma

Jacob, Liciamma is an sole proprietor health care provider with primary practice located at 4600 E Sam Houston Pkwy S , Pasadena TX 77505-3948. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Jacob, Liciamma can be contacted via phone (713) 948-7388.

Contact Information

Primary practice address
4600 E Sam Houston Pkwy S Pasadena TX 77505-3948
Phone: (713) 948-7388
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP138632 Texas

Profile Details

NPI number 1134682347
LBN Legal business name Jacob, Liciamma
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2019
Last updated Apr 13th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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