NPI 1063661718
R. Daniel Jacob, M.D.,a.P.M.C.
Practice location
- Address
- 4228 Houma Blvd Suite 340, Metairie, LA 70006-3000
- Phone
- (504) 454-3611
- Fax
- (504) 888-9452
- Mailing address
- 351 Vincent Ave, Metairie, LA 70005-4419
Authorised official
- Name
- Rudolph Daniel Jacob
- Title
- President
- Phone
- (504) 454-3611
Registered specialties (8)
Otolaryngology Physician
Primary
Pediatric Otolaryngology Physician
Sleep Medicine (Otolaryngology) Physician
Facial Plastic Surgery Physician
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Otolaryngic Allergy Physician
Otology & Neurotology Physician
Otolaryngology/Facial Plastic Surgery Physician
Registry record
- NPI
- 1063661718
- Entity type
- Organization
- NPI issued
- 17 Sep 2008
- Record last updated
- 27 Jan 2009
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.