Provider Demographics
NPI:1952306573
Name:JACOBS & RAMIREZ ALLERGY & IMMUNOLOGY
Entity Type:Organization
Organization Name:JACOBS & RAMIREZ ALLERGY & IMMUNOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:JACOBS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-614-3923
Mailing Address - Street 1:8285 FREDERICKSBURG RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3358
Mailing Address - Country:US
Mailing Address - Phone:210-614-3923
Mailing Address - Fax:210-614-3448
Practice Address - Street 1:8285 FREDERICKSBURG RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3358
Practice Address - Country:US
Practice Address - Phone:210-614-3923
Practice Address - Fax:210-614-3448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE1627174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE1627Medicare UPIN
TXH7145Medicare UPIN
TXF9988Medicare UPIN