| Pediatric Behavioral Specialist Of East Texas, Llp | |
|
205 Gene Samford Dr Lufkin TX 75904-3359 | |
| (936) 634-2214 | |
| (936) 639-9660 |
| Full Name | Pediatric Behavioral Specialist Of East Texas, Llp |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 205 Gene Samford Dr, Lufkin, Texas |
| Authorized Official Name and Position | Jeffrey Glass (DR/OWNER) |
| Authorized Official Contact | 9366342214 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Behavioral Specialist Of East Texas, Llp 205 Gene Samford Dr Lufkin TX 75904-3359 Ph: () - | Pediatric Behavioral Specialist Of East Texas, Llp 205 Gene Samford Dr Lufkin TX 75904-3359 Ph: (936) 634-2214 |
| NPI Number | 1588906341 |
|---|---|
| Provider Enumeration Date | 03/20/2013 |
| Last Update Date | 03/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588906341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | G1593 (Texas) | Primary |
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