MEDICARE: SHEILA W JACOBSON MD P A

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
1	261Q00000X	Clinic/Center
2	2084N0400X	Neurology Physician	H6310	TX

General Provider Information

NPI Number	:	1154611895
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHEILA W JACOBSON MD P A

Provider Business Mailing Address
First Line	:	12645 MEMORIAL DR.
Second Line	:	SUITE F-1, #177
City	:	HOUSTON
State	:	TX
Zip	:	77024-4979
Country	:	US
Telephone Number	:	832-910-7602
Fax Number	:

Provider Business Practice Location Address
First Line	:	9225 KATY FWY STE 415
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-1531
Country	:	US
Telephone Number	:	713-464-0822
Fax Number	:	713-932-1621

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	DR. SHEILA W JACOBSON
Credential	:	M.D.
Telephone Number	:	713-464-0822

Provider Enumeration Date	:	04/14/2011
Last Update Date	:	10/13/2023

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