# FAMILY MEDICINE OF EAST TEXAS, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Angela Hafernick, M.D., PA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285071977
- **Authorized official:** ANGELA HAFERNICK M.D. (PRESIDENT)
- **Authorized official phone:** (936) 634-3396

## Contact information

- **Practice address:** 206 GENE SAMFORD DR., LUFKIN, TX 75904
- **Practice address phone:** (936) 634-3396
- **Practice address fax:** (936) 632-7933
- **Mailing address:** 206 GENE SAMFORD DR., LUFKIN, TX 75904
- **Mailing address phone:** (936) 634-3396
- **Mailing address fax:** (936) 632-7933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | P0596 | TX | — |

## Other

- **Enumeration date:** 06/04/2013
- **Last updated:** 08/28/2023