CHARLES WILSON V.A. OUTPATIENT CLINIC (NPI# 1447367214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447367214 |
| Entity Type | Organization |
| Organization Name | CHARLES WILSON V.A. OUTPATIENT CLINIC |
| Practice Address |
1301 W Frank Ave Lufkin TX 75904-3305 |
| Mailing Address |
1301 West Frank Avenue Lufkin TX 75904 |
| Practice Telephone | 9366332758 |
| Mailing Telephone | 9366332758 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. VALERIE JUNE JOHNSTON (RN) |
| Authorized Official Telephone | 9366332758 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 527049 | TX | Ambulatory Health Care Facilities |
| Street Address |
1301 W FRANK AVE |
| City | LUFKIN |
| State | TX |
| Zip Code | 75904-3305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134140049 | Gloria Cervantes Lamkin | Social Worker | 1301 W Frank Ave, Lufkin, TX 75904-3305 | 2006-07-23 |
| 1952554594 | Jamie Lou Sirman | Registered Nurse | 1301 W Frank Ave, Lufkin, TX 75904-3305 | 2008-10-28 |
| 1295904738 | Judy Batson | Pharmacist | 1301 W Frank Ave, Cwop Va Clinic, Lufkin, TX 75904-3305 | 2008-02-28 |
| 1336248004 | Valerie June Johnston | Registered Nurse | 1301 W Frank Ave, Lufkin, TX 75904-3305 | 2006-09-21 |
| 1306950787 | Carey Lynn Smith | Dietitian, Registered | 1301 W Frank Ave, Lufkin, TX 75904-3305 | 2006-08-19 |
| 1851405237 | Myrtle Ruth Welch | Registered Nurse | 1301 W Frank Ave, Lufkin, TX 75904-3305 | 2006-08-19 |
| 1598878175 | Sondra Louise Khalil | Internal Medicine | 1301 W Frank Ave, Lufkin, TX 75904-3305 | 2006-08-16 |
| 1134232358 | Barbara Jane Baker | Registered Nurse | 1301 W Frank Ave, Lufkin, TX 75904-3305 | 2006-08-15 |
| 1689682759 | John Edward Mullen | Physician Assistant | 1301 W Frank Ave, Lufkin, TX 75904-3305 | 2006-08-04 |
| 1801802475 | Janice Lee Sweat | Technician | 1301 W Frank Ave, Lufkin, TX 75904-3305 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759750 | David Kent Emmerling | Pharmacist | Walmart Pharmacy 10-0140, 2500 Daniel Mccall Drive, Lufkin, TX 75904 | 2020-10-27 |
| 1831732718 | Isaac Kwame Agyare | Pharmacist | 1522 West Frank Ave. Room 127, Lufkin, TX 75904 | 2019-10-23 |
| 1598314999 | Eva Faye Mcduffie | Technician | 1006 Sherwood Rd., Lufkin, TX 75904 | 2019-09-09 |
| 1477036119 | Tyra Williams | Occupational Therapy Assistant | 902 Hill Street, Lufkin, TX 75904 | 2018-09-10 |
| 1720560188 | Veronica Monique Kennedy | Pharmacist | 1522 West Frank, Lufkin, TX 75904 | 2018-09-02 |
| 1356821532 | Mark Anthony Plowman | Licensed Vocational Nurse | 379 Copperfield Loop, Lufkin, TX 75904 | 2018-08-17 |
| 1396222311 | Kevin Pulikottil Cherian | Occupational Therapist | 402 S John Redditt Dr., Lufkin, TX 75904 | 2018-07-23 |
| 1922593029 | Sarah Marie Stuart | Dentist | 103 N Brentwood Dr, Unit 400, Lufkin, TX 75904 | 2018-06-30 |
| 1083104004 | Pam Specialty Hospital of Lufkin, LLC | Long Term Care Hospital | 1201 W Frank Ave Ste D5, Lufkin, TX 75904 | 2018-05-15 |
| 1124523840 | Jane C Davidson | Nurse Practitioner | 1 Medical Center Blvd Ste C, Lufkin, TX 75904 | 2018-03-26 |
| Find all providers in zip 75904 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | 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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154954196 | Grace Family Health LLC | Clinic/Center | 303 E Denman Ave Ste A, Lufkin, TX 75901-4090 | 2020-02-18 |
| 1689738338 | Lufkin Adult Medicine Clinic | Clinic/Center | 202 S Bynum St, Lufkin, TX 75904-3913 | 2006-12-20 |
| 1760593412 | Occucare, Ltd. | Clinic/Center | 2305 S John Redditt Dr, Lufkin, TX 75904-5429 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558826 | Mercy Clinic | Clinic/Center | 951 Tristar Dr, Webster, TX 77598-1536 | 2020-11-03 |
| 1477150688 | Sun Houston, LLC | Clinic/Center | 7505 Fannin St Ste 430, Houston, TX 77054-1944 | 2020-10-01 |
| 1295341147 | Mo City Apothecary LLC | Clinic/Center | 3708 Texas Pkwy Ste F, Missouri City, TX 77489-6173 | 2020-09-16 |
| 1114531167 | Action Potential - Sports and Neurological Rehab, Pllc | Clinic/Center | 3816 S Lamar Blvd Apt 2712, Austin, TX 78704-7955 | 2020-09-06 |
| 1609480755 | Galloway Clinic Pllc | Clinic/Center | 1336 N Galloway Ave Ste 124a, Mesquite, TX 75149-2490 | 2020-09-06 |
| 1508470170 | Honestar Wound Care Pllc | Clinic/Center | 7908 Modena Dr, Fort Worth, TX 76126-6144 | 2020-09-01 |
| 1093328981 | Caspian Medical Services | Clinic/Center | 10710 Kuykendahl Rd Ste 150, The Woodlands, TX 77381-2695 | 2020-08-28 |
| 1992318885 | Integra Assessments | Clinic/Center | 10710 Kuykendahl Rd Ste 175, The Woodlands, TX 77381-2695 | 2020-08-28 |
| 1912517426 | Med Cure Clinic | Clinic/Center | 102703 Alief Clodine Rd, Houston, TX 77082 | 2020-08-10 |
| 1538779145 | Family Choice Clinic, Inc. | Clinic/Center | 12808 W Airport Blvd Ste 260f, Sugar Land, TX 77478-6238 | 2020-08-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.