Individual ProviderJacob WestbrookFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address900 8th Ave, Fort Worth, TX 76104-3902(817) 336-2100(214) 217-1911PECOS EnrollmentBased on the most recent information from CMS, provider Jacob Westbrook 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 3 days ago.Profile DetailsProvider ID1760989024Provider TypeIndividualFull NameWestbrook, JacobCredentialDOGenderMaleSole ProprietorYesEnumeration Date4/11/2018Last Updated6/24/2021Contact InformationPractice LocationPractice Address900 8th Ave, Fort Worth, TX 76104-3902Phone(817) 336-2100FaxUnlisted FaxMailing LocationMailing Address13737 Noel Rd Ste 1600, Dallas, TX 75240-1374Phone(214) 217-1911FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseT1257Texas