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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROY G JACOB, MD

Active

ROY G JACOB, MD is a Pediatric Radiology healthcare provider located in LUBBOCK, Texas. NPI 1851596530 is currently active in the NPPES registry. Verify at CMS.

Pediatric Radiology · LUBBOCK, TX

Registration Details

NPI Number
1851596530
Provider Type
Individual
Gender
Male
NPI Issued
Jun 20, 2007 (19.141034420511 yrs)
Last Updated
Mar 13, 2024
Licenses
P7288 (TX)
25650 (OK)
P7288 (TX)
25650 (OK)
P7288 (TX)

Practice Information

Address
602 INDIANA AVE
LUBBOCK, TX, 794153364
Browse TX providers · Browse ZIP 79415
Phone
8067758400
Primary Specialty
Pediatric Radiology
2085P0229X
Additional Specialty
Pediatric Radiology
Additional Specialty
Diagnostic Radiology
Additional Specialty
Diagnostic Radiology
Additional Specialty
Pediatric Radiology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.