EAST TEXAS PLASTIC SURGERY LLP
NPI 1215152251
Surgery - Plastic and Reconstructive Surgery in Longview, TX

Q: What is East Texas Plastic Surgery LLP's NPI number?

The NPI number for East Texas Plastic Surgery LLP is 1215152251. It was assigned to this organization in the NPPES registry on April 16, 2007.

Q: What is East Texas Plastic Surgery LLP's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Active since April 16, 2007

703 E MARSHALL AVE STE 4008, LONGVIEW, TX 75601(903) 753-2276(903) 753-7420 Get Directions Write a Review

NPPES record last updated: July 18, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About East Texas Plastic Surgery Llp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST TEXAS PLASTIC SURGERY LLP (NPI 1215152251) is a healthcare organization registered as a plastic and reconstructive surgery in Longview, Texas and active in the NPI registry since April 2007. The organization lists Gary R Jacobs, President And Co Owner, as its authorized official.

NPPES Registry Identity

NPI1215152251

Entity TypeOrganization

Primary Taxonomy2086S0122X

Legal Business NameEAST TEXAS PLASTIC SURGERY LLP

Location Address703 E MARSHALL AVE STE 4008Longview, TX 75601-5622

Mailing Address703 E Marshall Ave Ste 4008Longview, TX 75601-5622 · (903) 753-2276 · Fax (903) 753-7420

Phone(903) 753-2276

Fax(903) 753-7420

Organization SubpartNo

Authorized OfficialGary R JacobsPresident And Co Owner · (903) 753-2276

Enumeration DateApril 16, 2007

Last NPPES UpdateJuly 18, 2016

✔ NPI 1215152251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

License✔ Licensed in TX · E4427

Definition

A surgeon who specializes in plastic and reconstructive surgery.

703 E MARSHALL AVE STE 4008, Longview, TX 75601

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Other Identifiers 3

Medicare UPINC17373TX

Medicare ID-Type Unspecified86Y711TX

Medicaid110309502TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Texas Plastic Surgery LLP's NPI number?

The NPI number for East Texas Plastic Surgery LLP is 1215152251. It was assigned to this organization in the NPPES registry on April 16, 2007.

Where is East Texas Plastic Surgery LLP located?

East Texas Plastic Surgery LLP is located at 703 E Marshall Ave Ste 4008, Longview, TX 75601. The listed phone number is (903) 753-2276.

What is East Texas Plastic Surgery LLP's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for East Texas Plastic Surgery LLP was last updated on July 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.