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Dr. Jacob Erickson, M.D.

Pain Medicine, Interventional Pain Medicine in San Antonio, TX. Individual provider (NPI-1).

NPI number1013352913
StatusActive
Last updated in NPPESJan 15, 2020

Details

NPI
1013352913
Entity type
Individual (NPI-1)
Name
Dr. Jacob Erickson
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
May 6, 2013
Certification date
Jan 15, 2020
Last updated
Jan 15, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208VP0014X Pain Medicine, Interventional Pain MedicineR1203TXYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

5282 Medical Dr
San Antonio, TX 78229-4849

Phone 210-450-9850

Mailing address

4801 E Linwood Blvd
Kansas City, MO 64128-2226

Other practice locations

4502 Medical Dr
San Antonio, TX 78229-4402

Phone 210-567-5359

4801 E Linwood Blvd
Kansas City, MO 64128-2226

Phone 816-861-4700

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