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6844 N Us Highway 69 Pollok TX 75969-4548 | |
(936) 634-3353 | |
(936) 853-3353 |
Full Name | |
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Speciality | Intermediate Care Facility, Intellectual Disabilities |
Location | 6844 N Us Highway 69, Pollok, Texas |
Authorized Official Name and Position | Scott Schalchlin (ASSOCIATE COMMISSIONER) |
Authorized Official Contact | 5124383076 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1648 Lufkin TX 75902-1648 Ph: (936) 634-3353 | 6844 N Us Highway 69 Pollok TX 75969-4548 Ph: (936) 634-3353 |
NPI Number | 1225117567 |
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Provider Enumeration Date | 11/06/2006 |
Last Update Date | 02/05/2018 |
Identifier | Type | State | Issuer |
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1225117567 | NPI | - | NPPES |
000710301 | Medicaid | TX |