Kenneth H Jacobson
Anesthesiologist
801 7th Ave
Fort Worth
, Texas 76104-2733
Kenneth H Jacobson
Anesthesiologist
801 7th Ave
Fort Worth
, Texas 76104-2733
(682) 885-7347
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About
Features
Specialties
- Anesthesiologist
Languages spoken
- English
Location
First Address
- Kenneth H Jacobson
- Po Box 99371
- Fort Worth, TX
- Zip : 76199-0371
- Fax : (682) 885-7347
- Phone : (682) 885-1855
Second Address
- Kenneth H Jacobson
- 801 7th Ave
- Fort Worth, TX
- Zip : 76104-2733
- Fax : (682) 885-7497
- Phone : (682) 885-4054
Reviews
FAQs
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What is Kenneth H Jacobson ’s gender?
Is Kenneth H Jacobson a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207L00000X | Anesthesiologist | L2345 | TX |
National Provider Identifier
| NPI | 1003909193 |
|---|---|
| Provider Name | Kenneth H Jacobson |
| First Address | Fort Worth, TX 76199-0371 |
| Second Address | Fort Worth, TX 76104-2733 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/10/2006 |
| Last Update Date | 15/06/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00N47F | BCBSTX GRP PIN (01) | TX |
| 0324290 | CIGNA PIN (01) | TX |
| 10030778 | AMERIGROUP PIN (01) | TX |
| 115891100 | FIRSTCARE PIN (01) | TX |
| 1192925 | FIRSTHEALTH PIN (01) | TX |
| 124217 | SUPERIOR PIN (01) | TX |
| 137345809 | (05) | TX |
| 140442853 | (05) | TX |
| 1447220850 | GRP NPI NUMBER (01) | |
| 147834901 | (05) | TX |
| 147834902 | (05) | TX |
| 1950571 | UHC PIN (01) | TX |
| 7067290 | AETNA PIN (01) | TX |
| 88413Y | BCBSTX IND PIN (01) | TX |
| 9187586 | PHCS PIN (01) | TX |
| G04347 | (02) |
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.