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Charles Wilson V.a. Outpatient Clinic
Clinic/Center in Lufkin, Texas
NPI 1447367214

Charles Wilson V.a. Outpatient Clinic is a Clinic/Center based in Lufkin, TX. Charles Wilson V.a. Outpatient Clinic practices in Lufkin, TX. The NPI Number for Charles Wilson V.a. Outpatient Clinic is 1447367214 and holds a License No. 527049 (Texas).

The current practice location address for Charles Wilson V.a. Outpatient Clinic is 1301 W Frank Ave, Lufkin, TX and can be reached out via phone at 936-633-2758. You can also correspond with Charles Wilson V.a. Outpatient Clinic through the mailing address at 1301 WEST FRANK AVENUE, LUFKIN, TX - 75904 (mailing address contact number: 936-633-2758).

Location: 1301 W Frank Ave, Lufkin, TX, 75904
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447367214
Provider Name
Charles Wilson V.a. Outpatient Clinic
Credential
Provider Entity Type
Organization
Address
1301 W Frank Ave, Lufkin, TX, 75904
Phone Number
936-633-2758
Fax Number
Provider Enumeration Date
08/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1301 W Frank Ave
City
Lufkin
State
Texas
Zip
75904-3305
Phone Number
936-633-2758
Fax Number
person
Provider Business Mailing Address Details
Address
1301 W Frank Ave
City
Lufkin
State
Texas
Zip
75904-3305
Phone Number
936-633-2758
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
527049 (Texas)
Definition
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).
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