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Dr. Charles Edward Jacocks, MD
General Practice Physician in Fort Sam Houston, Texas
NPI 1104321967

Charles Edward Jacocks is a General Practice Physician based in Fort Sam Houston, TX. Charles Edward Jacocks practices in Fort Sam Houston, TX and has the professional credentials of MD. The NPI Number for Charles Edward Jacocks is 1104321967 and holds a License No. MD85083 (Texas).

The current practice location address for Charles Edward Jacocks is 3551 Roger Brooke Dr, Fort Sam Houston, TX and can be reached out via phone at 210-916-4808 and via fax at 908-282-3289.

Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX, 78234-4504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104321967
Provider Name
Charles Edward Jacocks
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3551 Roger Brooke Dr, Fort Sam Houston, TX, 78234-4504
Phone Number
210-916-4808
Fax Number
908-282-3289
Provider Enumeration Date
03/26/2018
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
3551 Roger Brooke Dr
City
Fort Sam Houston
State
Texas
Zip
78234-4504
Phone Number
210-916-4808
Fax Number
908-282-3289
person
Provider Business Mailing Address Details
Address
3551 Roger Brooke Dr
City
Fort Sam Houston
State
Texas
Zip
78234-4504
Phone Number
210-916-4808
Fax Number
908-282-3289
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
MD85083 (South Carolina)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
MD85083 (South Carolina)
Definition
Definition to come...
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