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NPI Code Detail

MEDICARE: JACOB THOMAS ABALOS MD

MEDICARE: JACOB THOMAS ABALOS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1982545075
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACOB THOMAS ABALOS MD
Provider Business Mailing Address
First Line : 7701 WURZBACH RD APT 1407
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-4432
Country : US
Telephone Number : 713-502-5268
Fax Number :
Provider Business Practice Location Address
First Line : 1211 MEDICAL CENTER DR
Second Line :
City : NASHVILLE
State : TN
Zip : 37232-0004
Country : US
Telephone Number : 615-322-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2026
Last Update Date : 04/02/2026

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