Tall Pines Family Clinic | |
1224 S John Redditt Dr Lufkin TX 75904-4377 | |
(936) 639-4393 | |
(877) 916-5022 |
Full Name | Tall Pines Family Clinic |
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Speciality | Family Medicine |
Location | 1224 S John Redditt Dr, Lufkin, Texas |
Authorized Official Name and Position | Joseph Alan 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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Tall Pines Family Clinic 1224 S John Redditt Dr Lufkin TX 75904-4377 Ph: (936) 639-4393 | Tall Pines Family Clinic 1224 S John Redditt Dr Lufkin TX 75904-4377 Ph: (936) 639-4393 |
NPI Number | 1255697306 |
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Provider Enumeration Date | 04/03/2012 |
Last Update Date | 07/12/2023 |
Medicare PECOS PAC ID | 0648428615 |
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Medicare Enrollment ID | O20120917000396 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255697306 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Jamie L Parks |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164757639 PECOS PAC ID: 7012040371 Enrollment ID: I20100806000404 |
Provider Name | Joseph A Koch |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386970523 PECOS PAC ID: 4880876572 Enrollment ID: I20110317000196 |
Provider Name | Angela M Whitley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316592553 PECOS PAC ID: 3476987686 Enrollment ID: I20191221000173 |
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 |