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Organization
FAMILY MEDICINE OF EAST TEXAS, PA
Active
Organization
FAMILY MEDICINE OF EAST TEXAS, PA
Active
Other names
Angela Hafernick, M.D., PA
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA HAFERNICK M.D. (PRESIDENT)
(936) 634-3396
Entity
Organization
Contact information
Practice address
206 GENE SAMFORD DR., LUFKIN, TX 75904
(936) 634-3396
(936) 632-7933
Mailing address
206 GENE SAMFORD DR., LUFKIN, TX 75904
(936) 634-3396
(936) 632-7933
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
P0596
TX
Other
Enumeration date
06/04/2013
Last updated
08/28/2023
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