Organization
ANGELINA PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE S FIDONE MD (CO OWNER)
(936) 634-9233
Entity
Organization
Contact information
Practice address
1222 ELLIS AVE, LUFKIN, TX 75904-3326
(936) 634-9233
(936) 634-9353
Mailing address
PO BOX 150638, LUFKIN, TX 75915
(936) 634-9233
(936) 634-9353
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092130602
—
TX
Enumeration date
09/08/2006
Last updated
10/14/2016
Update your record
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