Suzanne Jacob, MD

Pediatrics Physician · Waco, TX

Individual Active NPI

NPI number 1255867057

Practice location

2201 Macarthur Dr Ste 103
Waco, TX 76708-3159
Phone
(254) 313-5300
Fax
(254) 313-5399

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NPI record

NPI
1255867057
Entity type
Individual (Type 1)
Enumeration date
May 11, 2017
Last updated
October 28, 2020
Certified
October 28, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X S8578 TX
Student in an Organized Health Care Education/Training Program 390200000X — CA

Mailing address

1600 Providence Dr
Waco, TX 76707-2261
Phone
(254) 313-4200
Fax
(254) 313-4549

Other practice locations (1)

  • 11234 Anderson St, Loma Linda, CA 92354-2804 · (909) 558-2828

About Dr. Jacob

Suzanne Jacob, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 2201 Macarthur Dr Ste 103, Waco, TX 76708-3159. The NPI number 1255867057 was assigned on May 11, 2017 and the record was last updated on October 28, 2020.

Dr. Jacob lists a license in the registry: #S8578 (TX) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Suzanne Jacob, MD?

The NPI number is 1255867057.

What is the phone number of Dr. Jacob?

The phone number listed for the practice location is (254) 313-5300.

Where is Dr. Jacob located?

2201 Macarthur Dr Ste 103, Waco, TX 76708-3159.

What is the taxonomy code for Dr. Jacob?

The primary taxonomy code is 208000000X – Pediatrics Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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