Individual ProviderCarly JacobsAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address7703 Floyd Curl Dr, San Antonio, TX 78229-3900(210) 567-4500PECOS EnrollmentBased on the most recent information from CMS, provider Carly Jacobs is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1366948341Provider TypeIndividualFull NameJacobs, CarlyCredentialMDGenderFemaleSole ProprietorNoEnumeration Date3/30/2018Last Updated5/17/2024Contact InformationPractice LocationPractice Address7703 Floyd Curl Dr, San Antonio, TX 78229-3900Phone(210) 567-4500FaxUnlisted FaxMailing LocationMailing Address7703 Floyd Curl Dr, San Antonio, TX 78229-3900Phone(210) 567-4500FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseT6599TexasCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer