Jack Leigh Eidson III, M.D.
Vascular Surgery Physician · Temple, TX
Practice location
2401 S 31st StTemple, TX 76508-0001
- Phone
- (254) 724-2111
NPI record
- NPI
- 1487819538
- Entity type
- Individual (Type 1)
- Enumeration date
- July 28, 2008
- Last updated
- September 11, 2020
- Certified
- September 11, 2020
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X |
N5032 | TX |
Mailing address
PO Box 844658Dallas, TX 75284-4658
- Phone
- (254) 724-2111
About Dr. Eidson
Jack Leigh Eidson III, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Vascular Surgery Physician (code 2086S0129X). The practice location is 2401 S 31st St, Temple, TX 76508-0001. The NPI number 1487819538 was assigned on July 28, 2008 and the record was last updated on September 11, 2020.
Dr. Eidson lists a license in the registry: #N5032 (TX) for Vascular Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jack Leigh Eidson III, M.D.?
The NPI number is 1487819538.
What is the phone number of Dr. Eidson?
The phone number listed for the practice location is (254) 724-2111.
Where is Dr. Eidson located?
2401 S 31st St, Temple, TX 76508-0001.
What is the taxonomy code for Dr. Eidson?
The primary taxonomy code is 2086S0129X – Vascular Surgery Physician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Vascular Surgery Physician providers in Temple
- William Todd Bohannon, M.D.2401 S 31st St
- Robert Scott Smith, MD2401 S 31st St
- David Lee Dawson, M.D.2401 S 31st St
- Benjamin Paul Jaquish, M.D.2401 S 31st St
- Craig Milner, M.D.2401 S 31st St
- Meryl Simon Logan, MD1901 Veterans Memorial Dr