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ALEXIS D. JACOB M.D. P.L.L.C. NPI 1518526003


NPI Information

NPI: 1518526003
Provider Name: ALEXIS D. JACOB, M.D., P.L.L.C.

Doing Business As: VASCULAR ASSOCIATES OF NORTH TEXAS

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
4001 W 15TH ST STE 335
PLANO, TX
ZIP 75093
Phone: (469) 562-1992
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ALEXIS D. JACOB, M.D., P.L.L.C. is a vascular surgery surgery in Plano, TX. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. ALEXIS D. JACOB, M.D., P.L.L.C. NPI is 1518526003. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Vascular Associates Of North Texas.

The provider's business location address is:

4001 W 15TH ST STE 335
PLANO, TX
ZIP 75093-859
Phone: (469) 562-1992
Fax: (469) 249-3510

The provider's authorized official is Alexis D Jacob .
The authorized official title is Owner and has the following contact phone number (281) 686-9406.

The enumeration date for this NPI number is 6/10/2019 and was last updated on 8/13/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineNo
22086S0129XSurgeryVascular SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1402462YYWMEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.