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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255867057

Suzanne Jacob, MD is a Student in an Organized Health Care Education/Training Program in Waco, Texas. Works from 2 locations. Licensed in California and Texas.

Licensed in
CA, TX
In the registry since
2017
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

2201 Macarthur Dr Ste 103
Waco, TX 76708-3159
Phone: (254) 313-5300
Fax: (254) 313-5399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11234 Anderson St, Loma Linda, CA 92354-2804 — (909) 558-2828

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence S8578 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CA)

Record details

NPI number1255867057
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 11, 2017
Last updated in NPPESOctober 28, 2020
Certification dateOctober 28, 2020
Mailing address1600 Providence Dr, Waco, TX 76707-2261

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