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Dr. Jack B Stephenson IV, MD
Plastic and Reconstructive Surgery Physician in Tyler, Texas
NPI 1972624542

Jack B Stephenson IV is a Plastic and Reconstructive Surgery Physician based in Dallas, TX and is specialized in Plastic and Reconstructive Surgery. 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. You can also correspond with Jack B Stephenson IV through the mailing address at PO BOX 846098, DALLAS, TX - 75284-6098 (mailing address contact number: 903-606-6400).

Location: 8591 S Broadway Ave, Tyler, TX, 75284-6098
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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, 75284-6098
Phone Number
903-596-9173
Fax Number
Provider Enumeration Date
04/02/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8591 S Broadway Ave
City
State
Zip
75703-5470
Phone Number
903-596-9173
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 846098
City
State
Zip
75284-6098
Phone Number
903-606-6400
Fax Number
903-606-1522
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Hand Surgery
Taxonomy
License No.
P5238 (Texas)
Definition
An orthopedic surgeon trained 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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
-
Taxonomy
License No.
P5238 (Texas)
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
Surgery of the Hand
Taxonomy
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.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
P5238 (Texas)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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