Susan Jacob, NP | |
212 Angela Ln, Stafford, TX 77477 | |
(281) 781-9578 | |
Not Available |
Full Name | Susan Jacob |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 212 Angela Ln, Stafford, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821468257 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | AP126808 (Texas) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | AP126808 (Texas) | Primary |
Entity Name | Baylor College Of Medicine |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881026664 PECOS PAC ID: 8022243971 Enrollment ID: O20131030000972 |
Entity Name | Alegis Care - Texas Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023607850 PECOS PAC ID: 7618369513 Enrollment ID: O20220127000559 |
Entity Name | Monogram Health Professional Services Of Texas Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396481255 PECOS PAC ID: 3870969124 Enrollment ID: O20221012001279 |
Entity Name | Evernorth Care Providers - Delaware Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033981097 PECOS PAC ID: 6002217973 Enrollment ID: O20240206004349 |
Mailing Address | Practice Location Address |
---|---|
Susan Jacob, NP 212 Angela Ln, Stafford, TX 77477-4626 Ph: (281) 781-9578 | Susan Jacob, NP 212 Angela Ln, Stafford, TX 77477 Ph: (281) 781-9578 |
Chandrika Padmavathyamma, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11925 Southwest Fwy Ste 12, Stafford, TX 77477 Phone: 281-741-9145 | |
Ashley Ray, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3623 S Main St # 109, Stafford, TX 77477 Phone: 281-969-7643 Fax: 281-969-5332 | |
Esther Ogechi Peter, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 543 Nadia Way, Stafford, TX 77477 Phone: 832-492-2102 | |
Ms. Brenda S Mallett, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10435 Greenbough Dr Ste 300, Stafford, TX 77477 Phone: 281-261-0182 | |
Mrs. Joslyn M Varghese, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2503 S Main St Ste C, Stafford, TX 77477 Phone: 281-261-5800 | |
Jessy Cecil, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 445 Murphy Rd Ste 101b, Stafford, TX 77477 Phone: 832-729-2461 | |
Anh Kim Dinh, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11929 W Airport Blvd, Stafford, TX 77477 Phone: 832-723-7807 |