NPI age
19 years
Enumerated 2007-04-16
● Active Type 2 · Organization
East Texas Plastic Surgery Llp
East Texas Plastic Surgery Llp is 1 of 548 surgery organizations in Texas.
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jacobs
President And Co Owner
Last NPPES update
2016-07-18
Source: monthly bulk 2026-05
How this organization compares
Across 548 active surgery providers in Texas.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
703 E Marshall Ave Ste 4008
Longview, TX 756015622
Mailing address
703 E Marshall Ave Ste 4008
Longview, TX 756015622
Authorized official
Gary R Jacobs, MD
President And Co Owner
📞 9037532276
Specialties
-
Surgery PrimaryA surgeon who specializes in plastic and reconstructive surgery.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 110309502 |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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