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1578267985
JACOB CHARLES SU
HOUSTON, TX
NPI
1578267985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-29
Last Update Date
2023-03-29
Business Address
JACOB CHARLES SU MD
6400 FANNIN ST STE 1700
HOUSTON, TX 77030-1526
Phone number: 713-486-7500
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Mailing Address
JACOB CHARLES SU MD
3406 LA BRANCH ST UNIT D
HOUSTON, TX 77004-3845
Phone number: 817-875-6517
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