Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin Jacob, PA-C

Individual provider Medical Physician Assistant · NPI 1215337985

Benjamin Jacob, PA-C is a Physician Assistant in Houston, Texas. Qualified in 2014, 12 years ago. Licensed in Texas.

Years since qualifying
12
Licensed in
TX
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

6621 Fannin St Mc B17320
Houston, TX 77030-2358
Phone: (832) 824-1000
Fax: (832) 825-1107
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X (TX)

Record details

NPI number1215337985
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 29, 2014
Last updated in NPPESAugust 29, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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