Physician Compare National (NPI:1710014493)

HEALTHCARE PROVIDER: JACOB C HOUSTON D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1710014493
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0143482844
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120425000411
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HOUSTON
	Individual professional last name
Provider First Name	JACOB
	Individual professional first name
Provider Middle Name	CORY
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOGAN COLLEGE OF CHIROPRACTIC
	Individual professional's medical school
Graduation Year	2002
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	116 ROYAL OAKS BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 120
	Group Practice or individual's line 2 address
City	FRANKLIN
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	370673087
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6155910123
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y