Individual provider · Type 1 NPI

Diana Mary Jacob, PA-C

Physician Assistant · Dallas, TX

NPI number 1801336524 Active

Practice location

5323 Harry Hines Blvd Stop 7200
Dallas, TX 75390-7201

Fax (214) 648-5461

Mailing address

PO Box 845347
Dallas, TX 75284-5347

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA11109 (TX)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1801336524

Diana Mary Jacob, PA-C's National Provider Identifier is 1801336524, issued on Feb 28, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Dallas, TX. The record was last updated on Nov 14, 2025.