East Texas Plastic Surgery Llp in Longview - Plastic And Reconstructive Surgery
East Texas Plastic Surgery Llp - NPI 1215152251
East Texas Plastic Surgery Llp is a Plastic And Reconstructive Surgery in Longview, Texas. East Texas Plastic Surgery Llp practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for East Texas Plastic Surgery Llp is 1215152251. The last update date is 2016-07-18.
East Texas Plastic Surgery Llp's current location address is 703 E Marshall Ave Ste 4008, Longview, Texas. You can contact this provider via phone number 9037532276 and fax number 9037537420. The mailing address for East Texas Plastic Surgery Llp is 703 E Marshall Ave Ste 4008, Longview, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | East Texas Plastic Surgery Llp |
|---|---|
| Address | 703 E Marshall Ave Ste 4008, Longview, Texas |
| Phone Number | 9037532276 |
| Fax Number | 9037537420 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Jacobs R Gary |
| Credentials | MD |
| Telephone Number | 9037532276 |
NPI Number Detail
| NPI Number | 1215152251 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2016-07-18 |
Provider Mailing Address Detail
| Address | 703 E Marshall Ave Ste 4008 |
|---|---|
| City | Longview |
| State | Texas (TX) |
| Post Code | 756015622 |
| Phone Number | 9037532276 |
| Fax Number | 9037537420 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | E4427 |
|
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110309502 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to East Texas Plastic Surgery Llp by the Centers for Medicare & Medicaid Services?
The East Texas Plastic Surgery Llp has been issued the NPI (National Provider Identifier) 1215152251 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of East Texas Plastic Surgery Llp?
The East Texas Plastic Surgery Llp is physically situated at 703 E Marshall Ave Ste 4008, in the city of Longview, state of TX, with the postal code 756015622.
What is the area of specialization for East Texas Plastic Surgery Llp, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for East Texas Plastic Surgery Llp is Plastic And Reconstructive Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 2086S0122X.
On what date did East Texas Plastic Surgery Llp receive its 1215152251 assignment from the Centers for Medicare & Medicaid Services?
The East Texas Plastic Surgery Llp was assigned its 1215152251 on 2007-04-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding East Texas Plastic Surgery Llp, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to East Texas Plastic Surgery Llp, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-07-18.