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Organization

FAMILY HEALTH CENTER, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NATARAJAN VENKATAYAN MD (PHYSICIAN)
(936) 634-4350
Entity
Organization

Contact information

Practice address
529 GASLIGHT BLVD, LUFKIN, TX 75904-3127
(936) 634-4350
Mailing address
529 GASLIGHT BLVD, LUFKIN, TX 75904-3127
(936) 634-4350

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M4617
TX

Other

Enumeration date
04/13/2010
Last updated
04/13/2010
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