| Impact Physician Group, Texas LLC | |
|
302 Gobblers Knob Rd Lufkin TX 75904-5419 | |
| (936) 632-2295 | |
| Not Available |
| Full Name | Impact Physician Group, Texas LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 302 Gobblers Knob Rd, Lufkin, Texas |
| Authorized Official Name and Position | Paul Miller (CEO) |
| Authorized Official Contact | 6789675599 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Physician Group, Texas LLC 21 Eastbrook Bnd Ste 218 Peachtree City GA 30269-1546 Ph: (678) 967-5599 | Impact Physician Group, Texas LLC 302 Gobblers Knob Rd Lufkin TX 75904-5419 Ph: (936) 632-2295 |
| NPI Number | 1740803113 |
|---|---|
| Provider Enumeration Date | 05/20/2020 |
| Last Update Date | 09/15/2023 |
| Certification Date | 09/14/2023 |
| Medicare PECOS PAC ID | 7113349788 |
|---|---|
| Medicare Enrollment ID | O20200629000314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740803113 | NPI | - | NPPES |
| Provider Name | Abdul Moiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760672760 PECOS PAC ID: 1850425299 Enrollment ID: I20200603001533 |
| Provider Name | Zubair Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134416019 PECOS PAC ID: 0840410403 Enrollment ID: I20200608001083 |
| Provider Name | Akta Atul Rajani |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1003264334 PECOS PAC ID: 7719385962 Enrollment ID: I20211001002662 |
| Provider Name | Rose Gaelle Moale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417544347 PECOS PAC ID: 1759761588 Enrollment ID: I20220711000845 |
| Provider Name | Ashishkumar K Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689811176 PECOS PAC ID: 0547441172 Enrollment ID: I20220728000076 |
| Provider Name | Sajita Shiwakoti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922782200 PECOS PAC ID: 2264886209 Enrollment ID: I20230926001211 |
| Provider Name | Haris Adnan Siraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982045902 PECOS PAC ID: 4183913361 Enrollment ID: I20241008004523 |
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 |
In & Out Clinic PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3802 S Medford Dr, Lufkin, TX 75901 Phone: 936-634-2231 Fax: 936-634-8012 |
Front Porch Health and Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1017 Ray Fisher Rd, Lufkin, TX 75901 Phone: 936-676-0772 |
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 |