MEDICARE: DAVID M JACOBSON DO

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	207Q00000X	Family Medicine Physician	A-1982-16	NM
2	207Q00000X	Family Medicine Physician	267245	NY
3	207Q00000X	Family Medicine Physician	T9711	TX
4	207P00000X	Emergency Medicine Physician	T9711	TX
5	207P00000X	Emergency Medicine Physician	C1980	KY
6	207Q00000X	Family Medicine Physician	C1980	KY

General Provider Information

NPI Number	:	1306154703
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID M JACOBSON DO

Provider Business Mailing Address
First Line	:	8544 W BELLFORT AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77071-2208
Country	:	US
Telephone Number	:	347-262-2427
Fax Number	:

Provider Business Practice Location Address
First Line	:	8544 W BELLFORT AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77071-2208
Country	:	US
Telephone Number	:	347-262-2427
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2010
Last Update Date	:	03/16/2026

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Directions to “ DAVID M JACOBSON DO” Practice Location

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