Jack D Elder is a Sports Medicine in Longview, Texas. Jack D Elder practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jack D Elder is 1184691792. The last update date is 2012-09-04.
Jack D Elder's current location address is 709 Hollybrook Dr, Longview, Texas. You can contact this provider via phone number 9037531778 and fax number 9037537202. The mailing address for Jack D Elder is 709 Hollybrook Dr, Longview, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack D Elder |
|---|---|
| Address | 709 Hollybrook Dr, Longview, Texas |
| Phone Number | 9037531778 |
| Fax Number | 9037537202 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1184691792 |
|---|---|
| Provider Enumeration Date | 2006-03-02 |
| Last Updated Date | 2012-09-04 |
Provider Mailing Address Detail
| Address | 709 Hollybrook Dr |
|---|---|
| City | Longview |
| State | Texas (TX) |
| Post Code | 756052411 |
| Phone Number | 9037531778 |
| Fax Number | 9037537202 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | D2419 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Post Comment/ Review Below
What is the unique identifier code issued to Jack D Elder by the Centers for Medicare & Medicaid Services?
The Jack D Elder has been assigned the NPI (National Provider Identifier) 1184691792. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jack D Elder is located?
The Jack D Elder is situated at the following address: 709 Hollybrook Dr, Longview, TX, 756052411.
What is Jack D Elder's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jack D Elder is Sports Medicine, and the taxonomy code that classifies this field of practice is 207Xx0005X.
On what date was the 1184691792 assigned to Jack D Elder?
The Jack D Elder was issued its 1184691792 on 2006-03-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jack D Elder's details last updated?
The information pertaining to the Jack D Elder, including its address, specialty, and other details, was most recently updated on 2012-09-04.