Organization
CHILDRENS CLINIC OF LUFKIN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY L GLASS MD (OWNER)
(936) 634-2214
Entity
Organization
Contact information
Practice address
205 GENE SAMFORD DR, LUFKIN, TX 75904
(936) 634-2214
(936) 639-9660
Mailing address
205 GENE SAMFORD DR, LUFKIN, TX 75904
(936) 634-2214
(936) 639-9660
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/13/2006
Last updated
07/16/2007
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