Mark Alan Jacob in San Antonio - Cardiovascular Disease
Mark Alan Jacob - NPI 1952524399
Mark Alan Jacob is a Cardiovascular Disease in San Antonio, Texas. Mark Alan Jacob practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Mark Alan Jacob is 1952524399. The last update date is 2015-07-16.
Mark Alan Jacob's current location address is 4330 Medical Dr Ste 500, San Antonio, Texas. You can contact this provider via phone number 2105580122 and fax number 2105580120. The mailing address for Mark Alan Jacob is 4330 Medical Dr Ste 500, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Alan Jacob |
|---|---|
| Address | 4330 Medical Dr Ste 500, San Antonio, Texas |
| Phone Number | 2105580122 |
| Fax Number | 2105580120 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1952524399 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2015-07-16 |
Provider Mailing Address Detail
| Address | 4330 Medical Dr Ste 500 |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782293318 |
| Phone Number | 2105580122 |
| Fax Number | 2105580120 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | F4114 |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 135747703 | TX | -- | |
| TXB150108 | WELLMED NETWORKS INC |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mark Alan Jacob?
The Mark Alan Jacob has been issued the NPI (National Provider Identifier) 1952524399 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Mark Alan Jacob's physical address?
The Mark Alan Jacob is physically located at 4330 Medical Dr Ste 500, in the city of San Antonio, TX, with the postal code 782293318.
What is the Mark Alan Jacob's specialty and taxonomy code?
The Mark Alan Jacob's specialty is Cardiovascular Disease, and the corresponding taxonomy code is 207Rc0000X.
On what date did the Mark Alan Jacob receive its 1952524399 assignment from the Centers for Medicare & Medicaid Services?
The Mark Alan Jacob was assigned its 1952524399 by the Centers for Medicare & Medicaid Services on 2007-04-11.
As of what date were the Mark Alan Jacob's details last updated?
The information pertaining to the Mark Alan Jacob, including its address, specialty, and other details, was most recently updated on 2015-07-16.
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