Individual provider · Type 1 NPI

Jack B. Stephenson Iv, MD

Surgery of the Hand (Plastic Surgery) Physician · Tyler, TX

NPI number 1972624542 Active

Practice location

8591 S Broadway Ave
Tyler, TX 75703-5470

Call (903) 596-9173 Map

Other practice locations

  • 1327 Troup Hwy, Tyler, TX 75701-4443 · (903) 606-8840
  • 23960 Katy Freeway, Suite 380, Katy, TX 77494 · (832) 232-4263

Specialties and licenses

TaxonomyCodeLicense
Surgery of the Hand (Plastic Surgery) Physician Primary 2082S0105XP5238 (TX)

Surgery of the Hand (Plastic Surgery) Physician: 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.

18 other providers at this address

About NPI 1972624542

Jack B. Stephenson Iv, MD's National Provider Identifier is 1972624542, issued on Apr 2, 2007. The primary taxonomy on file is Surgery of the Hand (Plastic Surgery) Physician (2082S0105X), and the practice location is in Tyler, TX. The record was last updated on Nov 19, 2024.