| |
1105 W Frank Ave Suite 280 Lufkin TX 75904-3303 | |
(936) 639-4393 | |
(936) 639-0877 |
Full Name | |
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Speciality | Psychiatry & Neurology |
Location | 1105 W Frank Ave, Lufkin, Texas |
Authorized Official Name and Position | Rebekah W Koch (PRESIDENT) |
Authorized Official Contact | 9366394393 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1105 W Frank Ave Suite 280 Lufkin TX 75904-3303 Ph: (936) 639-4393 | 1105 W Frank Ave Suite 280 Lufkin TX 75904-3303 Ph: (936) 639-4393 |
NPI Number | 1770849184 |
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Provider Enumeration Date | 04/10/2012 |
Last Update Date | 04/10/2012 |
Medicare PECOS PAC ID | 1658694526 |
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Medicare Enrollment ID | O20141229001340 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770849184 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | P1888 (Texas) | Primary |
Provider Name | Rebekah Wright Koch |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1417119603 PECOS PAC ID: 0547583528 Enrollment ID: I20141223001799 |
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