DR. Jack D Elder MD

  • NPI 1184691792
According to our database, the NPI number for DR. Jack D Elder MD is 1184691792 and activated since 18 years ago. DR. Jack D Elder MD is an individual provider who specializes in Sports Medicine, and the primary practice location is 709 Hollybrook Dr, Longview, TX 75605. You can also contact DR. Jack D Elder MD via telephone number is (903) 753-1778. Provider NPI information was last updated on 09/04/2012.

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Overview of DR. Jack D Elder MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 03/02/2006
  • Last updated: 09/04/2012

Primary Scrop of Practice

  • Taxonomy Code: 207XX0005X
  • Specialty: Sports Medicine
  • License Number: D2419
  • License State: TX

Provider Mailing Address

  • Address: Po Box 847176
    Dallas, TX 75284
  • Phone: 903-237-1800
  • Fax: 903-237-1810

Provider Practice Location

  • Address: 709 Hollybrook Dr
    Suite 3401
    Longview, TX 75605
  • Phone: 903-753-1778
  • Fax: 903-753-7202

Scope of Practice

  • Taxonomy Code: 207XX0005X
  • Specialty: Sports Medicine
  • License Number: D2419
  • License State: TX
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Jack D Elder MD?
  • A: The npi number for DR. Jack D Elder MD is 1184691792.
  • Q: What are DR. Jack D Elder MD's specialties?
  • A: DR. Jack D Elder MD's specialties are Sports Medicine and different specialities.
  • Q: What is the medical license for DR. Jack D Elder MD?
  • A: The medical license number for DR. Jack D Elder MD is D2419 and issued in TX in USA.
  • Q: Where is DR. Jack D Elder MD practice location?
  • A: DR. Jack D Elder MD is practicing at 709 Hollybrook Dr, Longview, TX 75605.
  • Q: How to contact DR. Jack D Elder MD?
  • A: You can contact DR. Jack D Elder MD via 903-753-1778.