Charles Wilson V.a. Outpatient Clinic
NPI #1447367214 in Lufkin, Texas
Provider Information
- NPI Number
- 1447367214
- Entity Type
- Organization
- Organization Name
- Charles Wilson V.a. Outpatient Clinic
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Aug 25, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MRS. VALERIE JUNE JOHNSTON
- Title
- RN
- Phone
- (936) 633-2758
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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