Stephenson, Jack B

Stephenson, Jack B is an individual health care provider with primary practice located at 8591 S Broadway Ave , Tyler TX 75703-5470. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Stephenson, Jack B can be contacted via phone (903) 596-9173.

Contact Information

Primary practice address
8591 S Broadway Ave Tyler TX 75703-5470
Phone: (903) 596-9173
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X P5238 Texas
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X P5238 Texas
Allopathic & Osteopathic Physicians / Surgery of the Hand 2082S0105X P5238 Texas
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X P5238 Texas

Profile Details

NPI number 1972624542
LBN Legal business name Stephenson, Jack B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Dec 6th, 2022 - about 2 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.

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