Dr. Jack B Stephenson IV, MD
Dr. Jack B Stephenson IV, MD is a Plastic and Reconstructive Surgery in Tyler, Texas. Graduated from Baylor College of Medicine in 2007, 19 years ago. Practices with Christus Trinity Clinic, a 1,531-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Texas.
- Years since qualifying
- 19
- Trained at
- Baylor College of Medicine
- Licensed in
- TX
- In the registry since
- 2007
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
8591 S Broadway AveTyler, TX 75703-5470
Phone: (903) 596-9173
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 23960 Katy Freeway, Katy, TX 77494 — (832) 232-4263
- 1327 Troup Hwy, Tyler, TX 75701-4443 — (903) 606-8840
Specialties & licences
| Surgery of the Hand (Plastic Surgery) Physician (primary) | Taxonomy 2082S0105X · Licence P5238 (TX) |
|---|
Record details
| NPI number | 1972624542 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 2, 2007 |
| Last updated in NPPES | November 19, 2024 |
| Certification date | November 19, 2024 |
Medicare enrollment
| Medicare specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
|---|---|
| Also practises | HAND SURGERY |
| Medical school | BAYLOR COLLEGE OF MEDICINE |
| Graduated | 2007 (19 years in practice) |
| Group practice | Christus Trinity Clinic — 1531 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 8 on file with Medicare |