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

Jacob T Stephenson, MD

Individual provider Surgery Physician · NPI 1265411979

Jacob T Stephenson, MD is a Surgery Physician in Houston, Texas. Licensed in California and Texas. Registered with an NPI since 2006.

Licensed in
CA, TX
In the registry since
2006
Specialties on file
3
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

1102 Bates Ave # FC1440
Houston, TX 77030-2698
Phone: (832) 828-3660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence U5819 (TX)
Surgery Physician Taxonomy 208600000X · Licence U5819 (TX)
Pediatric Surgery Physician Taxonomy 2086S0120X · Licence 92264 (CA)

Record details

NPI number1265411979
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 11, 2006
Last updated in NPPESJanuary 7, 2024
Certification dateJanuary 7, 2024
Mailing address1102 Bates Ave # Fc1440, Houston, TX 77030-2698

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