NPI age
3 years
Enumerated 2023-03-20
● Active Type 2 · Organization
East Texas Premier Pediatrics Pllc
East Texas Premier Pediatrics Pllc is 1 of 7055 pediatrics organizations in Texas.
Primary specialty
Pediatrics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Swink
Credentialing
Last NPPES update
2023-03-20
Source: monthly bulk 2026-05
How this organization compares
Across 7055 active pediatrics providers in Texas.
NPI age
3 years
↓ 15 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-03Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
1 Medical Center Blvd Ste B
Lufkin, TX 759043173
Mailing address
210 Autumn Lake Dr
Lufkin, TX 759047489
Authorized official
Charlia Devon Swink
Credentialing
📞 2147296038
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.