Robert K Jacobs MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

F1069 Issued in TX

Legal business name

ROBERT K JACOBS MD PA

Practice address

1201 E Schuster Ave
Building 3a
El Paso, TX 79902-4672

Phone

(915) 533-1630

Fax

(915) 533-4116

NPI assigned

May 8, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Robert Kenan Jacobs, M.D.

Title

President

Phone

(915) 533-1630

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1649539867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E SCHUSTER AVE",
            "address_2": "BUILDING 3A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024672",
            "telephone_number": "915-533-1630",
            "fax_number": "915-533-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E SCHUSTER AVE",
            "address_2": "BUILDING 3A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024672",
            "telephone_number": "915-533-1630",
            "fax_number": "915-533-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT K JACOBS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "KENAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-533-1630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "F1069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089848802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis L Robbins, CRNA
• Zachary Robbins, DPT
• Robert D Schneider MD PA
• Robert E Urrea MD PA
• Robert J. Rankin, PH.D., P.a.
• Robert M. Maddox, M.D., P.a.
• Robert P. May
• Robert R Culp DDS Inc
• Roberto Canales M.D. P.a.
• Bradley Orr Roberts, DMD

• Surgery Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; 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.