Elder, Jack D

Elder, Jack D is an individual health care provider with primary practice located at 709 Hollybrook Dr Suite 3401, Longview TX 75605-2411. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Elder, Jack D can be contacted via phone (903) 753-1778.

Contact Information

Primary practice address
709 Hollybrook Dr Suite 3401 Longview TX 75605-2411
Phone: (903) 753-1778
Fax: (903) 753-7202
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X D2419 Texas

Profile Details

NPI number 1184691792
LBN Legal business name Elder, Jack D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Sep 4th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers