Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jack Leigh Eidson III, MD

Individual provider Vascular Surgery Physician · NPI 1487819538

Dr. Jack Leigh Eidson III, MD is a Vascular Surgery in Temple, Texas. Graduated from University of Texas Medical Branch at Galveston in 2006, 20 years ago. Practices with Scott and White Clinic, a 2,429-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
20
Trained at
University of Texas Medical Branch at Galveston
Licensed in
TX
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2401 S 31st St
Temple, TX 76508-0001
Phone: (254) 724-2111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence N5032 (TX)

Record details

NPI number1487819538
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 28, 2008
Last updated in NPPESSeptember 11, 2020
Certification dateSeptember 11, 2020
Mailing addressPo Box 844658, Dallas, TX 75284-4658

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 2006 (20 years in practice)
Group practice Scott And White Clinic — 2429 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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