Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GARY R JACOBS, M.D.
ActiveDR. GARY R JACOBS, M.D. is a Plastic and Reconstructive Surgery healthcare provider located in LONGVIEW, Texas. NPI 1407853732 is currently active in the NPPES registry. Verify at CMS.
Plastic and Reconstructive Surgery · LONGVIEW, TX
Registration Details
- NPI Number
- 1407853732
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 1, 2005 (21.140449674612 yrs)
- Last Updated
- Jul 18, 2016
- License
-
E4427 (TX)
Practice Information
- Address
-
703 E MARSHALL AVE#4008LONGVIEW, TX, 756015500Browse TX providers · Browse ZIP 75601
- Phone
- 9037532276
- Fax
- 9037537420
- Primary Specialty
-
Plastic and Reconstructive Surgery
2086S0122X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.