Individual provider · Type 1 NPI

Roger Jacob, MD

Student in an Organized Health Care Education/Training Program · Frisco, TX

NPI number 1447944970 Active

Practice location

9903 Vickie Ln
Frisco, TX 75035-2503

Call (972) 533-0905 Map

Mailing address

44405 Woodward Ave, Graduate Medical Education Dept.
Pontiac, MI 48341

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X4351051932 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1447944970

Roger Jacob, MD's National Provider Identifier is 1447944970, issued on Jun 7, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Frisco, TX. The record was last updated on Jun 7, 2023.