Provider Demographics
NPI:1780654475
Name:JAKUBOWSKI, ROBERT GERARD (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:GERARD
Last Name:JAKUBOWSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2961 MOSSROCK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-5119
Mailing Address - Country:US
Mailing Address - Phone:210-731-4800
Mailing Address - Fax:210-731-4810
Practice Address - Street 1:10307 STATE HIGHWAY 151
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-4557
Practice Address - Country:US
Practice Address - Phone:210-237-4983
Practice Address - Fax:210-581-1471
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2015-02-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXG9479207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C17389Medicare UPIN
TX8L2630Medicare PIN