Organization Active NPI

Jacob Tal, MD PA

  • Specialist
  • Katy, TX
National Provider Identifier
1962670505
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
F7630 Issued in TX
Legal business name
JACOB TAL, MD PA
Practice address
23920 Katy Fwy
Suite 460
Katy, TX 77494-1341
Phone
(713) 464-1845
Fax
(281) 392-5081
NPI assigned
Feb 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Dr. Jacob Tal, MD
Title
President
Phone
(713) 464-1845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X F7630 TX Primary

Addresses

Primary practice location

23920 Katy Fwy
Suite 460
Katy, TX 77494-1341

Mailing address

23920 Katy Fwy
Suite 460
Katy, TX 77494-1341
Phone (713) 464-1845

Other identifiers 2

IdentifierTypeStateIssuer
099716503MedicaidTX
0025NGOtherTXBC/BS

National Provider Directory

National Provider Directory

Locations

23920 Katy Fwy
Ste 460
Katy, TX 77494
Phone (713) 464-1845

NPI Registry JSON

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1962670505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23920 KATY FWY",
            "address_2": "SUITE 460",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941341",
            "telephone_number": "713-464-1845",
            "fax_number": "281-392-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23920 KATY FWY",
            "address_2": "SUITE 460",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941341",
            "telephone_number": "713-464-1845",
            "fax_number": "281-392-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB TAL, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "TAL",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-464-1845",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "F7630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099716503",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0025NG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.