SUSAN JACOB

STAFFORD, TX
NPI1821468257
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: TX  AP126808)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: TX  AP126808)
Enumeration Date2015-09-28
Last Update Date2018-08-10
Business Address
SUSAN JACOB NP
212 ANGELA LN
STAFFORD, TX 77477
Phone number: 281-781-9578
Mailing Address
SUSAN JACOB NP
212 ANGELA LN
STAFFORD, TX 77477-4626
Phone number: 281-781-9578