DR. CAROL L JACOBS MD
NPI 1548369309
Pediatrics - Adolescent Medicine in Livingston, TX

Q: What is Carol Jacobs's NPI number?

The NPI number for Carol Jacobs is 1548369309. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Q: What is Carol Jacobs's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Q: When was this NPI record last updated?

The NPPES record for Carol Jacobs was last updated on March 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 21, 2006

400 OGLETREE DR, LIVINGSTON, TX 77351(936) 328-8812(936) 328-8815 Get Directions Write a Review

NPPES record last updated: March 21, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Carol L Jacobs Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CAROL L JACOBS MD (NPI 1548369309) is an individual adolescent medicine provider in Livingston, Texas, licensed in Texas (J6500) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1548369309

Entity TypeIndividualFemale

Primary Taxonomy2080A0000X

Provider Legal NameDR. CAROL L JACOBSCredential: MD

Location Address400 OGLETREE DRLivingston, TX 77351-6783

Mailing Address400 Ogletree DrLivingston, TX 77351-6783 · (936) 328-8812 · Fax (936) 328-8815

Phone(936) 328-8812

Fax(936) 328-8815

Sole ProprietorNo

Enumeration DateSeptember 21, 2006

Last NPPES UpdateMarch 21, 2011

✔ NPI 1548369309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

License✔ Licensed in TX · J6500

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

400 OGLETREE DR, Livingston, TX 77351

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Other Identifiers 6

Medicare UPING43063TX

Medicaid169920902TX

Medicaid092234604TX

Other201510339TX · Tax Id Number

Other8P9490TX · Bcbs

Other7813TX · Choice One Chips

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RENELLA BOULLION APRN, FNP-BC

Nurse Practitioner (Pediatrics)