Organization · Type 2 NPI

Charles Wilson V.a. Outpatient Clinic

Clinic/Center · Lufkin, TX

NPI number 1447367214 Active

Practice location

1301 W Frank Ave
Lufkin, TX 75904-3305

Call (936) 633-2758 Map

Mailing address

1301 West Frank Avenue
Lufkin, TX 75904

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X527049 (TX)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

15 other providers at this address

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About NPI 1447367214

Charles Wilson V.a. Outpatient Clinic's National Provider Identifier is 1447367214, issued on Aug 25, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Lufkin, TX. The record was last updated on Aug 22, 2020.