Individual provider · NPI-1

Jacob Babcock

Technician, Other · San Antonio, TX

NPI number1497107353
StatusActive
Last updated in NPPESJul 4, 2016

Details

NPI
1497107353
Entity type
Individual (NPI-1)
Name
Mr. Jacob Babcock
Sex
Male
Sole proprietor
No
Enumeration date
Jul 4, 2016
Last updated
Jul 4, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247200000X Technician, Other––Yes

Practice location

526 Hammond Ave
San Antonio, TX 78210-3011

Phone 210-502-6022

Mailing address

526 Hammond Ave
San Antonio, TX 78210-3011

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Other Technician, Other providers in San Antonio, TX