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Organization
THE CHILDREN'S CLINIC OF WOODVILLE , PLLC
Active
Organization
THE CHILDREN'S CLINIC OF WOODVILLE , PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY L GLASS MD (MANAGING PROVIDER)
(936) 634-2214
Entity
Organization
Contact information
Practice address
900 W BLUFF ST., WOODVILLE, TX 75979
(409) 283-2090
(409) 283-2097
Mailing address
P.O. BOX 150638, LUFKIN, TX 75915
(936) 634-2214
(936) 634-2301
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/11/2008
Last updated
05/05/2021
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