Organization
EAST TEXAS CHEST CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSIE L. CLARK (,OFFICE MANAGER)
(936) 639-6210
Entity
Organization
Contact information
Practice address
818 W FRANK AVE, LUFKIN, TX 75904-3317
(936) 639-6210
(936) 639-2298
Mailing address
818 W FRANK AVE, LUFKIN, TX 75904-3317
(936) 639-6210
(936) 639-2298
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G4729
TX
Other
Enumeration date
04/04/2007
Last updated
10/29/2007
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