Provider Demographics
NPI:1558897223
Name:SEXTON, JACOB ALLEN (MD)
Entity Type:Individual
Prefix:
First Name:JACOB
Middle Name:ALLEN
Last Name:SEXTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7211 PRESTON RD STE 1200
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-0238
Mailing Address - Country:US
Mailing Address - Phone:864-608-2011
Mailing Address - Fax:469-303-4520
Practice Address - Street 1:7211 PRESTON RD STE 1200
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-0238
Practice Address - Country:US
Practice Address - Phone:469-303-3000
Practice Address - Fax:469-303-4520
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-02
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXT3186207PS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PS0010XAllopathic & Osteopathic PhysiciansEmergency MedicineSports Medicine