DR. Gary R Jacobs, M.D.

NPI #1407853732 in Longview, Texas

Provider Information

NPI Number: 1407853732
Entity Type: Individual
Name: DR. Gary R Jacobs, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery - Plastic and Reconstructive Surgery
Credential: M.D.
Enumeration Date: Jul 1, 2005
Last Updated: Jul 18, 2016

Practice Location

Address: 703 E MARSHALL AVE
Address 2: #4008
City: Longview
State: Texas
ZIP Code: 75601-5500
Phone: (903) 753-2276

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Plastic and Reconstructive Surgery — Plastic and Reconstructive Surgery	2086S0122X	Primary

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Organizations

Provider Name	Specialty	City
East Texas Plastic Surgery LLP	Surgery - Plastic and Reconstructive Surgery	Longview	AI Deep Dive

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