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Dr. Shushan Jacob

Surgeon Surgery of the Hand

902 W Randol Mill Rd Ste 120
Arlington , Texas 76012-2579

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Image

Dr. Shushan Jacob

Surgeon Surgery of the Hand

902 W Randol Mill Rd Ste 120
Arlington , Texas 76012-2579

(817) 801-1508

Write a Review Save Call

Dr. Shushan Jacob

Surgeon Surgery of the Hand

902 W Randol Mill Rd Ste 120
Arlington , Texas 76012-2579

(817) 801-1508 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Surgeon
  • Surgery of the Hand

Languages spoken

  • English

Location

902 W Randol Mill Rd Ste 120 Arlington , Texas 76012-2579

First Address

  • Dr. Shushan Jacob
  • 902 W Randol Mill Rd Ste 120
  • Arlington, TX
  • Zip : 76012-2579
  • Fax : (817) 801-1508
  • Phone : (817) 801-1503

Second Address

  • Dr. Shushan Jacob
  • 902 W Randol Mill Rd Ste 120
  • Arlington, TX
  • Zip : 76012-2579
  • Fax : (817) 801-1508
  • Phone : (817) 801-1503

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FAQs


Where did Dr. Shushan Jacob attend graduate school?

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Where did Dr. Shushan Jacob do her residency?

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Where did Dr. Shushan Jacob do her fellowship?

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Is Dr. Shushan Jacob board certified?

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What type of doctor is Dr. Shushan Jacob

Surgery of the Hand

In what state does Dr. Shushan Jacob practice in?

Texas

Where is Dr. Shushan Jacob ’s practice located?

902 W Randol Mill Rd Ste 120 , Arlington, Texas, 76012-2579

What is Dr. Shushan Jacob ’s gender?

Female

Is Dr. Shushan Jacob a sole practitioner?

No

Is Dr. Shushan Jacob accepting new patients?

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What languages does Dr. Shushan Jacob speak?

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Does Dr. Shushan Jacob accept insurance?

Yes, Dr. Shushan Jacob accepts insurance

Does Dr. Shushan Jacob offers telemedicine?

Dr. Shushan Jacob has not indicated if she offers telemedicine

What is Dr. Shushan Jacob ’s professional license number?

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What is Dr. Shushan Jacob ’s NPI number?

1114119542

Does Dr. Shushan Jacob have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 208200000X Surgeon N7548 TX
N 208600000X Surgeon N7548 TX
Y 2086S0105X Surgery of the Hand N7548 TX

National Provider Identifier

NPI 1114119542
Provider Name Dr. Shushan Jacob
First Address Arlington, TX 76012-2579
Second Address Arlington, TX 76012-2579
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 09/08/2007
Last Update Date 22/07/2020

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
286943004 (05) TX
286943005 (05) TX

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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