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Contact Information

LATHA JACOB, NP
14131 MIDWAY ROAD
SUITE 620
ADDISON, TX75001-3669
 Phone: 972-249-0200
 Fax: 972-249-0206
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Rehabilitation

163WR0400X
Indicates primary specialty

NPI Profile & details for LATHA JACOB · (Female)

NPI Number 1376826503
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 09/23/2011
Last updated 04/17/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 739362
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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