location
search-icon
person
Dr. Jack B Stephenson IV, MD
Surgery of the Hand (Plastic Surgery) Physician in Tyler, Texas
NPI 1972624542

Jack B Stephenson IV is a Surgery of the Hand (Plastic Surgery) Physician based in Tyler, TX and is specialized in Surgery of the Hand. Jack B Stephenson IV practices in Tyler, TX and has the professional credentials of MD. The NPI Number for Jack B Stephenson IV is 1972624542 and holds a License No. P5238 (Texas).

The current practice location address for Jack B Stephenson IV is 8591 S Broadway Ave, Tyler, TX and can be reached out via phone at 903-596-9173.

Location: 8591 S Broadway Ave, Tyler, TX, 75703-5470
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972624542
Provider Name
Jack B Stephenson IV
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8591 S Broadway Ave, Tyler, TX, 75703-5470
Phone Number
903-596-9173
Fax Number
Provider Enumeration Date
04/02/2007
Last Update Date
12/14/2024
institution
Provider Business Practice Location Address Details
Address
8591 S Broadway Ave
City
Tyler
State
Texas
Zip
75703-5470
Phone Number
903-596-9173
Fax Number
person
Provider Business Mailing Address Details
Address
8591 S Broadway Ave
City
Tyler
State
Texas
Zip
75703-5470
Phone Number
903-596-9173
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
Surgery of the Hand
Taxonomy
2082S0105X
License No.
P5238 (Texas)
Definition
A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.