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

Individual provider Surgery Physician · NPI 1952568552

Jonathan Daniel Polk, MD is a General Surgery in Nacogdoches, Texas. Graduated from University of Texas Medical Branch at Galveston in 2004, 22 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
22
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

4800 NE Stallings Dr Ste 114
Nacogdoches, TX 75965-1250
Phone: (936) 569-0680
Fax: (936) 205-4130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence N0372 (TX)

Record details

NPI number1952568552
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 21, 2008
Last updated in NPPESNovember 18, 2013
Mailing address4800 Ne Stallings Dr Ste 114, Nacogdoches, TX 75965-1250

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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