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Organization
PEDIATRIC BEHAVIORAL SPECIALIST OF EAST TEXAS, LLP
Active
Organization
PEDIATRIC BEHAVIORAL SPECIALIST OF EAST TEXAS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY GLASS M.D (DR/OWNER)
(936) 634-2214
Entity
Organization
Contact information
Practice address
205 GENE SAMFORD DR, LUFKIN, TX 75904-3359
(936) 634-2214
(936) 639-9660
Mailing address
205 GENE SAMFORD DR, LUFKIN, TX 75904-3359
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
G1593
TX
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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