The Children's Clinic Rusk Pllc

NPI #1033638929 in Lufkin, Texas

Provider Information

NPI Number: 1033638929
Entity Type: Organization
Organization Name: The Children's Clinic Rusk Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: CHILDRENS CLINIC OF LUFKIN PA
Primary Specialty: Pediatrics
Enumeration Date: Sep 12, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 205 GENE SAMFORD DR
City: Lufkin
State: Texas
ZIP Code: 75904-3359
Phone: (936) 634-2214

Authorized Official

Name: MALAYA DAVIS
Title: HR MANAGER
Phone: (936) 634-2214

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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