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Organization
THE CHILDREN'S CLINIC RUSK PLLC
Active
Organization
THE CHILDREN'S CLINIC RUSK PLLC
Active
Parent organization
CHILDRENS CLINIC OF LUFKIN PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDRENS CLINIC OF LUFKIN PA
Authorized official
MALAYA DAVIS (HR MANAGER)
(936) 634-2214
Entity
Organization
Contact information
Practice address
205 GENE SAMFORD DR, LUFKIN, TX 75904-3359
(936) 634-2214
(936) 634-2301
Mailing address
205 GENE SAMFORD DR, LUFKIN, TX 75904-3359
(936) 634-2214
(936) 634-2301
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/12/2017
Last updated
07/21/2022
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