Jacob John Novak in Fort Worth - Emergency Medical Services

Jacob John Novak - NPI 1043336381

Jacob John Novak is a Emergency Medical Services in Fort Worth, Texas. Jacob John Novak practices all healthcare services and medical treatments related to Emergency Medical Services. The NPI Number for Jacob John Novak is 1043336381. The last update date is 2007-07-08.

Jacob John Novak's current location address is Po Box 961214, Fort Worth, Texas. You can contact this provider via phone number 9728996666 and fax number 9728996665. The mailing address for Jacob John Novak is Po Box 961214, Fort Worth, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacob John Novak
Address Po Box 961214, Fort Worth, Texas
Phone Number 9728996666
Fax Number 9728996665
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1043336381
Provider Enumeration Date 2007-03-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 961214
City Fort Worth
State Texas (TX)
Post Code 761610214
Phone Number 9728996666
Fax Number 9728996665

Provider's Primary Taxonomy Detail

Speciality Emergency Medical Services
Taxonomy 207Pe0004X
Licence No K2766
Definition:
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
K2766 TX STATE LICENSE

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FAQs about Jacob John Novak

What is the unique identification code assigned to Jacob John Novak by the Centers for Medicare & Medicaid Services?

The Jacob John Novak has been issued the NPI (National Provider Identifier) 1043336381. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Jacob John Novak is located?

The Jacob John Novak is situated at the following address: Po Box 961214, Fort Worth, TX, 761610214.

What is Jacob John Novak's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jacob John Novak is Emergency Medical Services, and the taxonomy classification code that categorizes this area of expertise is 207Pe0004X.

On what date was the 1043336381 assigned to Jacob John Novak?

The Jacob John Novak was issued its 1043336381 on 2007-03-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Jacob John Novak, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jacob John Novak, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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