Organization
HEALTH AND HUMAN SERVICES COMMISSION
Active
Other names
Lufkin State Supported Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT SCHALCHLIN (ASSOCIATE COMMISSIONER)
(512) 438-3076
Entity
Organization
Contact information
Practice address
6844 N US HIGHWAY 69, POLLOK, TX 75969-4548
(936) 634-3353
(936) 853-3353
Mailing address
PO BOX 1648, LUFKIN, TX 75902-1648
(936) 634-3353
(936) 853-8521
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
TX
207R00000X
Internal Medicine Physician
—
TX
207X00000X
Orthopaedic Surgery Physician
—
TX
207Y00000X
Otolaryngology Physician
—
TX
2084N0400X
Neurology Physician
—
TX
2084P0800X
Psychiatry Physician
—
TX
213E00000X
Podiatrist
—
TX
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000710301
—
TX
Enumeration date
11/06/2006
Last updated
02/05/2018
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