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

Jacob Chmielecki, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104613280

Jacob Chmielecki, MD is a Student in an Organized Health Care Education/Training Program in El Paso, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2025
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4801 Alberta Ave
El Paso, TX 79905-2707
Phone: (915) 215-5200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence BP10094802 (TX)

Record details

NPI number1104613280
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 22, 2025
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing address4801 Alberta Ave, El Paso, TX 79905-2707

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