Organization
EAST TEXAS PREMIER PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLIA DEVON SWINK (CREDENTIALING)
(214) 729-6038
Entity
Organization
Contact information
Practice address
1 MEDICAL CENTER BLVD STE B, LUFKIN, TX 75904-3173
(936) 671-3428
Mailing address
210 AUTUMN LAKE DR, LUFKIN, TX 75904-7489
(214) 729-6038
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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