| Family Medicine Of East Texas, Pa | |
|
206 Gene Samford Dr. Lufkin TX 75904 | |
| (936) 634-3396 | |
| (936) 632-7933 |
| Full Name | Family Medicine Of East Texas, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 206 Gene Samford Dr., Lufkin, Texas |
| Authorized Official Name and Position | Angela Hafernick (PRESIDENT) |
| Authorized Official Contact | 9366343396 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Of East Texas, Pa 206 Gene Samford Dr. Lufkin TX 75904 Ph: (936) 634-3396 | Family Medicine Of East Texas, Pa 206 Gene Samford Dr. Lufkin TX 75904 Ph: (936) 634-3396 |
| NPI Number | 1285071977 |
|---|---|
| Provider Enumeration Date | 06/04/2013 |
| Last Update Date | 08/28/2023 |
| Medicare PECOS PAC ID | 4688808041 |
|---|---|
| Medicare Enrollment ID | O20131018000232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285071977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | P0596 (Texas) | Secondary |
| Provider Name | Angela Hafernick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669793006 PECOS PAC ID: 6406080860 Enrollment ID: I20131018000507 |
| Provider Name | Kristina Glass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548890874 PECOS PAC ID: 1355769811 Enrollment ID: I20210510000088 |
| Provider Name | Amanda Kay Nesbett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295482156 PECOS PAC ID: 8325217508 Enrollment ID: I20231104000005 |
| Provider Name | Walter D Stephens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134755051 PECOS PAC ID: 3072944529 Enrollment ID: I20231128003891 |
Michael Hunt Huber Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 W Frank Ave Ste 100, Lufkin, TX 75904 Phone: 936-639-2244 Fax: 936-634-9334 | |
Jerry L Spinks, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Gaslight Blvd, Lufkin, TX 75904 Phone: 936-639-2338 Fax: 936-639-2980 | |
Kevin W Farris M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 W Frank Ave, Suite 301, Lufkin, TX 75904 Phone: 936-632-7606 Fax: 936-632-1574 | |
In & Out Clinic Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3802 S Medford Dr, Lufkin, TX 75901 Phone: 936-634-2231 Fax: 936-634-8012 | |
Lufkin Lifestyle And Family Medicine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 109 N 1st St, Lufkin, TX 75901 Phone: 369-632-2802 Fax: 369-286-3005 | |
Andrew J. Fercowicz, M.d.,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 S John Redditt Dr, Lufkin, TX 75904 Phone: 936-639-1005 Fax: 936-639-1006 | |
Varughese Puthenparampil Samuel Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1113 Ellis Ave, Lufkin, TX 75904 Phone: 936-637-2888 Fax: 936-634-2321 |