Job Jacob is a Internal Medicine in Texarkana, Texas. Job Jacob practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Job Jacob is 1053377101. The last update date is 2022-07-19.
Job Jacob's current location address is 5002 Cowhorn Creek Rd, Texarkana, Texas. You can contact this provider via phone number 9036143000 and fax number 9036143525. The mailing address for Job Jacob is 5002 Cowhorn Creek Rd, Texarkana, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Job Jacob |
|---|---|
| Address | 5002 Cowhorn Creek Rd, Texarkana, Texas |
| Phone Number | 9036143000 |
| Fax Number | 9036143525 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1053377101 |
|---|---|
| Provider Enumeration Date | 2006-04-25 |
| Last Updated Date | 2022-07-19 |
Provider Mailing Address Detail
| Address | 5002 Cowhorn Creek Rd |
|---|---|
| City | Texarkana |
| State | Texas (TX) |
| Post Code | 755039766 |
| Phone Number | 9036143000 |
| Fax Number | 9036143525 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | R-4415 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 122956001 | AR | -- | |
| 55893 | AR | BCBS |
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What is the Job Jacob's 1053377101?
The Job Jacob's NPI (National Provider Identifier) Number is 1053377101. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Job Jacob located?
The Job Jacob is located at 5002 Cowhorn Creek Rd, Texarkana, TX 755039766.
What is the Job Jacob's specialty and taxonomy code?
The Job Jacob's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1053377101 to Job Jacob?
The Job Jacob received its 1053377101 assignment from the Centers for Medicare & Medicaid Services on 2006-04-25.
As of what date were the Job Jacob's details last updated?
The information pertaining to the Job Jacob, including its address, specialty, and other details, was most recently updated on 2022-07-19.