East Texas Chest Clinic, P.a.

NPI #1265554000 in Lufkin, Texas

Provider Information

NPI Number: 1265554000
Entity Type: Organization
Organization Name: East Texas Chest Clinic, P.a.
Primary Specialty: Internal Medicine
Enumeration Date: Apr 4, 2007
Last Updated: Oct 29, 2007

Practice Location

Address: 818 W FRANK AVE
City: Lufkin
State: Texas
ZIP Code: 75904-3317
Phone: (936) 639-6210

Authorized Official

Name: SUSIE L. CLARK
Title: ,OFFICE MANAGER
Phone: (936) 639-6210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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