| Impact Physician Group, Psychiatry Llc | |
|
302 Gobblers Knob Rd Lufkin TX 75904-5419 | |
| (678) 967-5599 | |
| Not Available |
| Full Name | Impact Physician Group, Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 302 Gobblers Knob Rd, Lufkin, Texas |
| Authorized Official Name and Position | Paul Miller (CEO) |
| Authorized Official Contact | 6789675599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Physician Group, Psychiatry Llc 21 Eastbrook Bnd Ste 218 Peachtree City GA 30269-1546 Ph: (678) 967-5599 | Impact Physician Group, Psychiatry Llc 302 Gobblers Knob Rd Lufkin TX 75904-5419 Ph: (678) 967-5599 |
| NPI Number | 1457011207 |
|---|---|
| Provider Enumeration Date | 12/21/2021 |
| Last Update Date | 03/15/2022 |
| Certification Date | 03/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457011207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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