Provider Demographics
NPI:1972980076
Name:JACOB, RHEMA SUSAN (DO)
Entity Type:Individual
Prefix:DR
First Name:RHEMA
Middle Name:SUSAN
Last Name:JACOB
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:1722 KELLER PKWY STE 124
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-3749
Mailing Address - Country:US
Mailing Address - Phone:817-527-1554
Mailing Address - Fax:949-404-8846
Practice Address - Street 1:1722 KELLER PKWY STE 124
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-3749
Practice Address - Country:US
Practice Address - Phone:817-527-1554
Practice Address - Fax:949-404-8846
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-28
Last Update Date:2024-05-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXR62112084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry