Childrens Clinic of Lufkin PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

CHILDRENS CLINIC OF LUFKIN PA

Practice address

205 Gene Samford Dr
Lufkin, TX 75904

Phone

(936) 634-2214

Fax

(936) 639-9660

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Jeffrey L Glass, MD

Title

Owner

Phone

(936) 634-2214

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• The Children'S Clinic Rusk PLLC

  • Pediatrics Physician
  • Lufkin, TX
  • NPI 1033638929
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amol Sudhakar Deshpande, MD

  • Pediatrics Physician
  • Trinity, TX
  • NPI 1922140615
  NPD (past)
• Lauren Skelton Ford, MD

  • Pediatrics Physician
  • Lufkin, TX
  • NPI 1740854736
  NPD (past)
• Ghazala B Khan, MD

  • Pediatrics Physician
  • Lufkin, TX
  • NPI 1699870949
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1508961855",
    "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": "75904",
            "telephone_number": "936-634-2214",
            "fax_number": "936-639-9660"
        },
        {
            "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": "75904",
            "telephone_number": "936-634-2214",
            "fax_number": "936-639-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS CLINIC OF LUFKIN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-634-2214",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lila Cherry, MD
• Mariyam Cherry, M.D.
• Sunil Cherry
• Cheryl Suiter MD PA
• F Lynn Chesser, R.PH.
• Choices Adolescent Center
• Julie Christensen, R.D.
• Jenni Chumley, LMSW
• Delbert Chunn
• City of Lufkin

• 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 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.