DAISY SOBHA JACOB

FORT WORTH, TX
NPI1871075119
Former NameDAISY SOBHA THOMAS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  AP137437)
Additional Taxonomies163W00000X Registered Nurse
(Licence: TX  734278)
363L00000X Nurse Practitioner
(Licence: TX  AP137437)
Enumeration Date2018-09-04
Last Update Date2019-07-02
Business Address
DAISY SOBHA JACOB
1500 S MAIN ST FL 4
FORT WORTH, TX 76104-4917
Phone number: 817-702-1215
Mailing Address
DAISY SOBHA JACOB
PO BOX 732973
DALLAS, TX 75373-2973
Phone number: