Alexis D. Jacob, M.D., P.L.L.C.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

ALEXIS D. JACOB, M.D., P.L.L.C.

Doing business as

Vascular Associates of North Texas

Practice address

4001 W 15TH St Ste 335
Plano, TX 75093-5859

Phone

(469) 562-1992

Fax

(469) 249-3510

NPI assigned

Jun 10, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alexis D Jacob, MD

Title

Owner

Phone

(281) 686-9406

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Vascular Associates of North Texas Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1518526003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MCKINNEY AVE APT 1011",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752011718",
            "telephone_number": "281-686-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W 15TH ST STE 335",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935859",
            "telephone_number": "469-562-1992",
            "fax_number": "469-249-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXIS D. JACOB, M.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-686-9406",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402462YYW",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vascular Associates of North Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shea S. Alexander, M.A., LPC
• Sherry Catherine Alexander, D.D.S
• Tiffany Chanelle Alexander
• Trace Lawrence Alexander, FNP,DC
• Michelle Lorraine Alexandre, ACNS-BC
• Alfa Radiology Management Inc
• Italy Alfaro
• Melody Anne Alford
• Alfred Antonetti MD and Associates
• Alfred J. Rodriguez, M.D., P.a.

• Vascular Surgery Physician in Plano, TX
• Providers in Plano, TX by specialty
• Vascular Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.