Dr. Carol L Jacobs
MD | Pediatric Adolescent Medicine | Female
Dr. Carol L Jacobs, MD is a Livingston, Texas based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Carol L Jacobs is
400 Ogletree Dr, Livingston, Texas - 77351-6783. She can be contacted on phone at
936-328-8812 and fax number 936-328-8815.
Dr. Carol L Jacobs is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Carol L Jacobs is
1548369309 which was assigned by NPPES on 21 Sep, 2006 and it was last updated on 21 Mar, 2011.
Dr. Carol L Jacobs license number is
J6500 for Pediatrics Adolescent Medicine (2080A0000X) in Texas.
Dr. Carol L Jacobs specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Carol L Jacobs basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Carol L Jacobs |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Carol L Jacobs address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 400 Ogletree Dr
Livingston, TX, 77351-6783
United States |
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| Phone Number : | 936-328-8812 |
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| Fax Number : | 936-328-8815 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1548369309 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 21 Sep, 2006 |
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| Last Updated On : | 21 Mar, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Carol L Jacobs are as mentioned. Primary taxonomy code for Dr. Carol L Jacobs, MD is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | J6500 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Carol L Jacobs such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 201510339 | Other | TX | TAX ID NUMBER |
| 7813 | Other | TX | CHOICE ONE CHIPS |
| 169920902 | MEDICAID | TX | |
| 092234604 | MEDICAID | TX | |
| 8P9490 | Other | TX | BCBS |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 400 Ogletree Dr
Livingston, TX, 77351-6783
United States |
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| Phone Number : | 936-328-8812 |
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| Fax Number : | 936-328-8815 |
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Business Location:
Patients can refer following map for directions to
Dr. Carol L Jacobs practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.