EAST TEXAS CHEST CLINIC, P.A.
Osteopathic Medicine at Frank Ave, Lufkin, TX

License number
Texas G4729
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: SUSIE L. CLARK
Title: ,OFFICE MANAGER
Phone: (936) 639-6210
Address
Address
818 W Frank Ave, Lufkin, TX 75904
National Provider ID: 1265554000
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EAST TEXAS CHEST CLINIC, PA

Lufkin, TX

Status:
Inactive
Doing business as:
East Texas Chest Clinic, PA
Registration:
Dec 5, 1997
Addresses:
1307 Live Oak Ln, Lufkin, TX 75904 (Mailing)
818 W Frank Ave, Lufkin, TX 75904
State ID:
0081860103
Business type:
Professional Association
President , Director , Member:
Jacob Mannoor Thomas President , Director , Member, inactive
TIN:
32036007436

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