NPI 1003246828

Jacob General Surgery, LLC

Organisation Surgery Physician Metairie, LA

Practice location

Address: 4228 Houma Blvd Suite 220, Metairie, LA 70006-3000
Phone: (504) 264-9353
Fax: (504) 301-9312

Authorised official

Name: Ryan Andre Jacob
Title: Owner
Phone: (504) 264-9353

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 201551 (LA)

Other Surgery providers in Louisiana →

Registry record

NPI: 1003246828
Entity type: Organization
NPI issued: 14 Nov 2013
Record last updated: 14 Nov 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.