Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK B STEPHENSON IV, M.D.
ActiveDR. JACK B STEPHENSON IV, M.D. is a Surgery of the Hand (Plastic) healthcare provider located in TYLER, Texas. NPI 1972624542 is currently active in the NPPES registry. Verify at CMS.
Surgery of the Hand (Plastic) · TYLER, TX
Registration Details
- NPI Number
- 1972624542
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 2, 2007 (19.223206392929 yrs)
- Last Updated
- Nov 19, 2024
- License
-
P5238 (TX)
Practice Information
- Address
-
8591 S BROADWAY AVETYLER, TX, 757035470Browse TX providers · Browse ZIP 75703
- Phone
- 9035969173
- Primary Specialty
-
Surgery of the Hand (Plastic)
2082S0105X
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.