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Dr. Shushan Jacob, MD
Surgery of the Hand (Surgery) Physician in Keller, Texas
NPI 1114119542

Shushan Jacob is a Surgery of the Hand (Surgery) Physician based in Southlake, TX and is specialized in Surgery of the Hand. Shushan Jacob practices in Keller, TX and has the professional credentials of MD. The NPI Number for Shushan Jacob is 1114119542 and holds a License No. N7548 (Texas).

The current practice location address for Shushan Jacob is 1668 Keller Pkwy Ste 300, Keller, TX and can be reached out via phone at 817-404-4811 and via fax at 833-974-2284.

Location: 1668 Keller Pkwy Ste 300, Keller, TX, 76092-6516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114119542
Provider Name
Shushan Jacob
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1668 Keller Pkwy Ste 300, Keller, TX, 76092-6516
Phone Number
817-404-4811
Fax Number
833-974-2284
Provider Enumeration Date
08/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
286943004 05 TX
286943005 05 TX
institution
Provider Business Practice Location Address Details
Address
1668 Keller Pkwy Ste 300
City
Keller
State
Texas
Zip
76248-3710
Phone Number
817-404-4811
Fax Number
833-974-2284
person
Provider Business Mailing Address Details
Address
1668 Keller Pkwy Ste 300
City
Keller
State
Texas
Zip
76248-3710
Phone Number
817-404-4811
Fax Number
833-974-2284
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
N7548 (Texas)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Surgery of the Hand
Taxonomy
2086S0105X
License No.
N7548 (Texas)
Definition
A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
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