Dr Jack D Elder, MD - Orthopaedic Surgery in Longview, TX

Dr Jack D Elder, MD is a Orthopaedic Surgery - Sports Medicine physician based in Longview, Texas. Dr Jack D Elder is licensed to practice in Texas (license number D2419) and his current practice location is 709 Hollybrook Dr, Suite 3401, Longview, Texas. He can be reached at his office (for appointments etc.) via phone at (903) 753-1778.

NPI number for Dr Jack D Elder is 1184691792 and his current mailing address is Po Box 847176, Dallas, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184691792.

Contact Information

Dr Jack D Elder, MD
709 Hollybrook Dr, Suite 3401,
Longview, TX 75605-2411
(903) 753-1778
(903) 753-7202

Map and Direction




Physician's Profile

Full NameDr Jack D Elder
GenderMale
SpecialityOrthopaedic Surgery - Sports Medicine
Location709 Hollybrook Dr, Longview, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1184691792
  • Provider Enumeration Date: 03/02/2006
  • Last Update Date: 09/04/2012

Medical Identifiers

Medical identifiers for Dr Jack D Elder such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184691792NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XX0005XOrthopaedic Surgery - Sports Medicine D2419 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jack D Elder is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jack D Elder, MD
Po Box 847176,
Dallas, TX 75284-7176

Ph: (903) 237-1800
Dr Jack D Elder, MD
709 Hollybrook Dr, Suite 3401,
Longview, TX 75605-2411

Ph: (903) 753-1778

Reviews and Comments


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