Jacob G Thoele
Nurse Practitioner
910 E Houston St Ste 550
Tyler
, Texas 75702-8366
Jacob G Thoele
Nurse Practitioner
910 E Houston St Ste 550
Tyler
, Texas 75702-8366
(903) 324-6400
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Jacob G Thoele
- Po Box 846098
- Dallas, TX
- Zip : 75284-6098
- Phone : (903) 324-6400
Second Address
- Jacob G Thoele
- 910 E Houston St Ste 550
- Tyler, TX
- Zip : 75702-8366
- Fax : (903) 606-1218
- Phone : (903) 606-8718
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP137474 | TX |
National Provider Identifier
| NPI | 1003398157 |
|---|---|
| Provider Name | Jacob G Thoele |
| First Address | Dallas, TX 75284-6098 |
| Second Address | Tyler, TX 75702-8366 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/09/2018 |
| Last Update Date | 11/02/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 391691801 | (05) | TX |
| 8KC686 | BCBS (01) | TX |
| P02137154 | MEDICARE RAIL ROAD (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.