Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | N5127 | TX |
N | 111NI0900X | Internist | N5127 | TX |
NPI | 1003026469 |
---|---|
Provider Name | Dr. Tatiana B. Jacobson |
First Address | Austin, TX 78711-3442 |
Second Address | Austin, TX 78746 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 20/02/2020 |