| Angelina Wound Center, Llc | |
|
200 S John Redditt Dr Lufkin TX 75904-3112 | |
| (936) 632-5252 | |
| Not Available |
| Full Name | Angelina Wound Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 S John Redditt Dr, Lufkin, Texas |
| Authorized Official Name and Position | Henry C Warren (VICE PRESIDENT) |
| Authorized Official Contact | 9366325252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Angelina Wound Center, Llc 200 S John Redditt Dr Lufkin TX 75904-3112 Ph: (936) 632-5252 | Angelina Wound Center, Llc 200 S John Redditt Dr Lufkin TX 75904-3112 Ph: (936) 632-5252 |
| NPI Number | 1235947599 |
|---|---|
| Provider Enumeration Date | 12/19/2024 |
| Last Update Date | 12/19/2024 |
| Medicare PECOS PAC ID | 6709308752 |
|---|---|
| Medicare Enrollment ID | O20250319001141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235947599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Henry C Warren |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1447397484 PECOS PAC ID: 7719065622 Enrollment ID: I20100518000615 |
| Provider Name | Darry G Meyer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134279292 PECOS PAC ID: 4789609207 Enrollment ID: I20101019000793 |
| Provider Name | Jason C Reel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588607360 PECOS PAC ID: 8123083912 Enrollment ID: I20110208000320 |
| Provider Name | Alan S Bassin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831191790 PECOS PAC ID: 1759487630 Enrollment ID: I20110414000631 |
| Provider Name | Eddy G Corse |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1265893499 PECOS PAC ID: 3577833045 Enrollment ID: I20170717003424 |
Michael Hunt Huber Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 W Frank Ave Ste 100, Lufkin, TX 75904 Phone: 936-639-2244 Fax: 936-634-9334 | |
Jerry L Spinks, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Gaslight Blvd, Lufkin, TX 75904 Phone: 936-639-2338 Fax: 936-639-2980 | |
Kevin W Farris M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 W Frank Ave, Suite 301, Lufkin, TX 75904 Phone: 936-632-7606 Fax: 936-632-1574 | |
Lufkin Lifestyle And Family Medicine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 109 N 1st St, Lufkin, TX 75901 Phone: 369-632-2802 Fax: 369-286-3005 | |
Andrew J. Fercowicz, M.d.,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 S John Redditt Dr, Lufkin, TX 75904 Phone: 936-639-1005 Fax: 936-639-1006 | |
Varughese Puthenparampil Samuel Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1113 Ellis Ave, Lufkin, TX 75904 Phone: 936-637-2888 Fax: 936-634-2321 | |
Alexander Orlov Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 Gaslight Blvd Ste A, Lufkin, TX 75904 Phone: 936-632-2468 Fax: 936-632-0794 |