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General NPI Number Information
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NPI Number | 1154611895
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Entity Type | Organization
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Legal Business Name | SHEILA W JACOBSON MD P A
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Dates
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Enumeration Date | 04/14/2011
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Last Update Date | 10/13/2023
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Provider Practice Location Address
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Address Line | 9225 KATY FWY STE 415
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City | HOUSTON
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State | TX
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Zip | 77024-1531
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Country | US
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Telephone | 713-464-0822
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Fax | 713-932-1621
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Provider Business Mailing Address
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Address Line | 12645 MEMORIAL DR. SUITE F-1, #177
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City | HOUSTON
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State | TX
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Zip | 77024-4979
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Country | US
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Telephone | 832-910-7602
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. SHEILA W JACOBSON
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Credential | M.D.
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Telephone | 713-464-0822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | H6310
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License Number State | TX
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