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Dr. Roger Jacob, MD
Student in an Organized Health Care Education/Training Program in Frisco, Texas
NPI 1447944970

Roger Jacob is a Student in an Organized Health Care Education/Training Program based in Pontiac, TX. Roger Jacob practices in Frisco, TX and has the professional credentials of MD. The NPI Number for Roger Jacob is 1447944970 and holds a License No. 4351051932 (Texas).

The current practice location address for Roger Jacob is 9903 Vickie Ln, Frisco, TX and can be reached out via phone at 972-533-0905. You can also correspond with Roger Jacob through the mailing address at 44405 WOODWARD AVE, PONTIAC, MI - 48341 (mailing address contact number: ).

Location: 9903 Vickie Ln, Frisco, TX, 48341
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447944970
Provider Name
Roger Jacob
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
9903 Vickie Ln, Frisco, TX, 48341
Phone Number
972-533-0905
Fax Number
Provider Enumeration Date
06/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9903 Vickie Ln
City
Frisco
State
Texas
Zip
75035-2503
Phone Number
972-533-0905
Fax Number
person
Provider Business Mailing Address Details
Address
9903 Vickie Ln
City
Frisco
State
Texas
Zip
75035-2503
Phone Number
972-533-0905
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
4351051932 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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