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Dr. Carol L Jacobs, MD
Pediatric Adolescent Medicine Physician in Livingston, Texas
NPI 1548369309

Carol L Jacobs is a Pediatric Adolescent Medicine Physician based in Livingston, TX and is specialized in Adolescent Medicine. Carol L Jacobs practices in Livingston, TX and has the professional credentials of MD. The NPI Number for Carol L Jacobs is 1548369309 and holds a License No. J6500 (Texas).

The current practice location address for Carol L Jacobs is 400 Ogletree Dr, Livingston, TX and can be reached out via phone at 936-328-8812 and via fax at 936-328-8815.

Location: 400 Ogletree Dr, Livingston, TX, 77351-6783
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548369309
Provider Name
Carol L Jacobs
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
400 Ogletree Dr, Livingston, TX, 77351-6783
Phone Number
936-328-8812
Fax Number
936-328-8815
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
169920902 05 TX
8P9490 01 TX BCBS
092234604 05 TX
7813 01 TX CHOICE ONE CHIPS
institution
Provider Business Practice Location Address Details
Address
400 Ogletree Dr
City
Livingston
State
Texas
Zip
77351-6783
Phone Number
936-328-8812
Fax Number
936-328-8815
person
Provider Business Mailing Address Details
Address
400 Ogletree Dr
City
Livingston
State
Texas
Zip
77351-6783
Phone Number
936-328-8812
Fax Number
936-328-8815
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
J6500 (Texas)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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