Dr Surya Jacob, MD | |
18440 W Airport Blvd Ste 350, Richmond, TX 77407-5100 | |
(281) 240-8374 | |
(281) 208-9504 |
Full Name | Dr Surya Jacob |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 18440 W Airport Blvd Ste 350, Richmond, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699161273 | NPI | - | NPPES |
386566901 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | R8018 (Texas) | Primary |
Entity Name | Kelsey-seybold Medical Group, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013915255 PECOS PAC ID: 9739093527 Enrollment ID: O20031117000204 |
Mailing Address | Practice Location Address |
---|---|
Dr Surya Jacob, MD 11511 Shadow Creek Pkwy, Pearland, TX 77584-7298 Ph: (713) 442-0000 | Dr Surya Jacob, MD 18440 W Airport Blvd Ste 350, Richmond, TX 77407-5100 Ph: (281) 240-8374 |
Melanie D Degroot, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 400 Austin St, Richmond, TX 77469 Phone: 281-342-4530 Fax: 281-341-2920 | |
Roula Sabbagh, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 22121 Fm 1093 Rd, Richmond, TX 77407 Phone: 713-442-4100 | |
Michael E Bornstein, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1300 Main St, Richmond, TX 77469 Phone: 281-341-9696 Fax: 281-341-6218 | |
Brittany S Richardson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 22121 Fm 1093 Rd, Richmond, TX 77407 Phone: 713-442-4100 | |
Mabel O Izekor, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13407 Peach Orchard Ln, Richmond, TX 77407 Phone: 617-304-8687 | |
Michael S Lawson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 400 Austin St, Richmond, TX 77469 Phone: 281-342-4530 Fax: 281-342-3832 | |
Kara Chaney Carter, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 22121 Fm 1093 Rd, Richmond, TX 77407 Phone: 713-442-4100 |