Active NPI
Jacob Tal, MD PA
- Specialist
- Katy, TX
National Provider Identifier
1962670505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- F7630
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 099716503 | Medicaid | TX | |
| 0025NG | Other | TX | BC/BS |
National Provider Directory
National Provider DirectoryLocations
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.