Childrens Clinic of Lufkin PA

NPI #1508961855 in Lufkin, Texas

Provider Information

NPI Number: 1508961855
Entity Type: Organization
Organization Name: Childrens Clinic of Lufkin PA
Primary Specialty: Pediatrics
Enumeration Date: Sep 13, 2006
Last Updated: Jul 16, 2007

Practice Location

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

Authorized Official

Name: JEFFREY L GLASS, MD
Title: OWNER
Phone: (936) 634-2214

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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