East Texas Premier Pediatrics Pllc

NPI #1023710332 in Lufkin, Texas

Provider Information

NPI Number: 1023710332
Entity Type: Organization
Organization Name: East Texas Premier Pediatrics Pllc
Primary Specialty: Pediatrics
Enumeration Date: Mar 20, 2023
Last Updated: Mar 20, 2023

Practice Location

Address: 1 MEDICAL CENTER BLVD STE B
City: Lufkin
State: Texas
ZIP Code: 75904-3173
Phone: (936) 671-3428

Authorized Official

Name: CHARLIA DEVON SWINK
Title: CREDENTIALING
Phone: (214) 729-6038

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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