P Praxis·MD
● Active Type 2 · Organization

Children'S Clinic Of Jasper

Pediatrics·Jasper, TX· NPI 1093168049 · Enumerated 2016 · 9 years on NPI
Children'S Clinic Of Jasper is 1 of 7055 pediatrics organizations in Texas.
NPI age
9 years
Enumerated 2016-07-14
Primary specialty
Pediatrics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Crocker
Office Manager
Last NPPES update
2016-07-14
Source: monthly bulk 2026-05

How this organization compares

Across 7055 active pediatrics providers in Texas.

NPI age
9 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2016 → 2026

2016-07Enumerated in NPPES
2016 2026

Where they practice

Primary practice location
1008 Dickerson Dr
Jasper, TX 759515111
📞 9366342214fax 9366399660
Mailing address
Po Box 150638
Lufkin, TX 759150638
📞 9366342214fax 9366399660

Authorized official

Chere Crocker
Office Manager
📞 9366342214

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Pediatrics Primary
    A 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...
    TX license #H4321 taxonomy 208000000X

Identifiers

TypeValueNotes
05 (TX) 191679301
05 (MD) 092130602

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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