MEDICARE: DR. SHEILA WERCH JACOBSON M.D.

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	174400000X	Specialist	H6310	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00N63L	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881689073
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHEILA WERCH JACOBSON M.D.

Provider Business Mailing Address
First Line	:	9235 KATY FWY
Second Line	:	STE 330
City	:	HOUSTON
State	:	TX
Zip	:	77024-1533
Country	:	US
Telephone Number	:	713-464-0822
Fax Number	:	713-932-1621

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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	06/10/2020

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