Provider Demographics
NPI:1477097160
Name:JACOBS-WILLIAMS, STARLETT
Entity Type:Individual
Prefix:
First Name:STARLETT
Middle Name:
Last Name:JACOBS-WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5570 FM 423
Mailing Address - Street 2:STE. 250-169
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-8980
Mailing Address - Country:US
Mailing Address - Phone:214-457-3259
Mailing Address - Fax:
Practice Address - Street 1:5570 FM 423
Practice Address - Street 2:STE. 250-169
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-8980
Practice Address - Country:US
Practice Address - Phone:214-457-3259
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-14
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care