NPI age
9 years
Enumerated 2016-07-14
● Active Type 2 · Organization
Children'S Clinic Of Jasper
Children'S Clinic Of Jasper 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
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
Mailing address
Po Box 150638
Lufkin, TX 759150638
Authorized official
Chere Crocker
Office Manager
📞 9366342214
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Alyson Vanya, CPNP-PC Nurse Practitioner NPI 1275002230
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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 191679301 | |
| 05 (MD) | 092130602 |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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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.