The Children's Clinic Rusk PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

THE CHILDREN'S CLINIC RUSK PLLC

Practice address

205 Gene Samford Dr
Lufkin, TX 75904-3359

Phone

(936) 634-2214

Fax

(936) 634-2301

NPI assigned

Sep 12, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

CHILDRENS CLINIC OF LUFKIN PAAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Malaya Davis

Title

HR Manager

Phone

(936) 634-2214

Specialties & licenses 1

Addresses

Part of

The Childrens Clinic of

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Childrens Clinic of Lufkin PA

  • Pediatrics Physician
  • Lufkin, TX
  • NPI 1508961855
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1033638929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 GENE SAMFORD DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043359",
            "telephone_number": "936-634-2214",
            "fax_number": "936-634-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 GENE SAMFORD DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043359",
            "telephone_number": "936-634-2214",
            "fax_number": "936-634-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILDREN'S CLINIC RUSK PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDRENS CLINIC OF LUFKIN PA",
        "enumeration_date": "2017-09-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MALAYA",
        "authorized_official_title_or_position": "HR MANAGER",
        "authorized_official_telephone_number": "936-634-2214"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Navin S Thakur, MD
• Anupama Singh Thapar, DDS.
• The Center for Sight, PA
• The Center for Sight, PA
• The Center for Sight, PA
• The Salvation Army a Georgia Corporation (The Salvation Army Adult Day Center)
• Linda Thibodeaux
• Daisy Thomas, FNP
• Jacob Mannoor Thomas, M.D.,
• Hollin P Thompson, MS, RD, LD

• Pediatrics Physician in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.