Organization
LUFKIN ADULT MEDICINE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL S SANTIAGO MD (PRESIDENT)
(936) 632-9277
Entity
Organization
Contact information
Practice address
202 S BYNUM ST, LUFKIN, TX 75904-3913
(936) 632-9277
(936) 632-9285
Mailing address
202 S BYNUM ST, LUFKIN, TX 75904-3913
(936) 632-9277
(936) 632-9285
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142942501
—
TX
Enumeration date
12/20/2006
Last updated
01/18/2011
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