EAST TEXAS PLASTIC SURGERY LLP is a plastic and reconstructive surgery surgery in Longview, TX. The provider is a surgeon who specializes in plastic and reconstructive surgery. EAST TEXAS PLASTIC SURGERY LLP NPI is 1215152251. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
703 E MARSHALL AVE STE 4008
LONGVIEW, TX
ZIP 75601-622
Phone: (903) 753-2276
Fax: (903) 753-7420
The provider's authorized official is Gary R Jacobs .
The authorized official title is President And Co Owner and has the following contact phone number (903) 753-2276.
The CLIA number assigned to this NPI record is 45D1071479 - home health agency with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/16/2007 and was last updated on 7/18/2016.