P Praxis·MD
● Active Type 1 · Individual

Jonathan Daniel Polk, M.D.

Surgery·Nacogdoches, TX· NPI 1952568552 · Enumerated 2008 · 18 years on NPI
Polk is 1 of 13 surgery providers in Nacogdoches and 1 of 3028 in Texas.
NPI age
18 years
Enumerated 2008-05-21
Primary specialty
Surgery
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-11-18
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 3028 active surgery providers in Texas.

NPI age
18 years
≈ at median (18 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-05Enumerated in NPPES
2008 2026

Where they practice

Practice location
4800 Ne Stallings Dr Ste 114
Nacogdoches, TX 759651250
📞 9365690680fax 9362054130
Mailing address
4800 Ne Stallings Dr Ste 114
Nacogdoches, TX 759651250
📞 9365690680fax 9362054130

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    TX license #N0372 taxonomy 208600000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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