NPI age
19 years
Enumerated 2007-04-02
● Active
Type 1 · Individual
DR. Jack B Stephenson IV, M.D.
Stephenson is 1 of 1 plastic surgery providers in Tyler and 1 of 63 in Texas.
Primary specialty
Plastic Surgery
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-11-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 63 active plastic surgery providers in Texas.
NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Practice location
8591 S Broadway Ave
Tyler, TX 757035470
Mailing address
8591 S Broadway Ave
Tyler, TX 757035470
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
1327 Troup Hwy
Tyler, TX 757014443
Location 3
23960 Katy Freeway, Suite 380
Katy, TX 77494
Specialties
-
Plastic Surgery PrimaryA plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Practice context
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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