Impact Physician Group, Texas LLC

NPI #1740803113 in Lufkin, Texas

Provider Information

NPI Number: 1740803113
Entity Type: Organization
Organization Name: Impact Physician Group, Texas LLC
Primary Specialty: Internal Medicine
Enumeration Date: May 20, 2020
Last Updated: Sep 15, 2023

Practice Location

Address: 302 GOBBLERS KNOB RD
City: Lufkin
State: Texas
ZIP Code: 75904-5419
Phone: (936) 632-2295

Authorized Official

Name: PAUL MILLER
Title: CEO
Phone: (678) 967-5599

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine - Nephrology — Nephrology	207RN0300X
Physical Medicine & Rehabilitation	208100000X
Internal Medicine	207R00000X	Primary

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