SearchTexas208100000X

Alexander Jacobsen, DO

NPI 1790278026 · on the registry since 2018

Practice

Address
700 Olympic Plaza Cir Ste 503
Tyler, TX 75701
Phone
(903) 596-3686
Organisation at this address
Urology Tyler, Pa
Stasha Gominak, Md, Pa
Neuro Ir Of East Texas
Yvonne Baum M.D., P.A.
Tyler Kidney Doctors Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
89

Registry record

Primary taxonomy
208100000X
208100000X
Also registered as
207QS0010X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-06-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas