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CHARLES WILSON V.A. OUTPATIENT CLINIC NPI 1447367214


NPI Information

NPI: 1447367214
Provider Name: CHARLES WILSON V.A. OUTPATIENT CLINIC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 45D0987982

Address:
1301 W FRANK AVE
LUFKIN, TX
ZIP 75904
Phone: (936) 633-2758
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CHARLES WILSON V.A. OUTPATIENT CLINIC is a clinic center in Lufkin, TX. The provider is 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). CHARLES WILSON V.A. OUTPATIENT CLINIC NPI is 1447367214. The provider is registered as an organization entity type.

The provider's business location address is:

1301 W FRANK AVE
LUFKIN, TX
ZIP 75904-305
Phone: (936) 633-2758

The provider's authorized official is Valerie June Johnston .
The authorized official title is Rn and has the following contact phone number (936) 633-2758.

The CLIA number assigned to this NPI record is 45D0987982 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/25/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center527049TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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