Basic Information
| Provider Information | |||||||||
| NPI: | 1558897223 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SEXTON | ||||||||
| FirstName: | JACOB | ||||||||
| MiddleName: | ALLEN | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7211 PRESTON RD STE 1200 | ||||||||
| Address2: | |||||||||
| City: | PLANO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750240238 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8646082011 | ||||||||
| FaxNumber: | 4693034520 | ||||||||
| Practice Location | |||||||||
| Address1: | 7211 PRESTON RD STE 1200 | ||||||||
| Address2: | |||||||||
| City: | PLANO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750240238 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4693033000 | ||||||||
| FaxNumber: | 4693034520 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/02/2017 | ||||||||
| LastUpdateDate: | 09/13/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 09/13/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207PS0010X | T3186 | TX | Y | Allopathic & Osteopathic Physicians | Emergency Medicine | Sports Medicine |
No ID Information.