EAST TEXAS PREMIER PEDIATRICS PLLC
NPI 1023710332
Pediatrics in Lufkin, TX

Q: What is East Texas Premier Pediatrics PLLC's NPI number?

The NPI number for East Texas Premier Pediatrics PLLC is 1023710332. It was assigned to this organization in the NPPES registry on March 20, 2023.

Q: What is East Texas Premier Pediatrics PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since March 20, 2023CLIA 45D2287991 · Accreditation

1 MEDICAL CENTER BLVD STE B, LUFKIN, TX 75904(936) 671-3428 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About East Texas Premier Pediatrics Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST TEXAS PREMIER PEDIATRICS PLLC (NPI 1023710332) is a healthcare organization registered as a pediatrics in Lufkin, Texas and active in the NPI registry since March 2023. The organization holds an CLIA Accreditation certificate valid through October 21, 2026 and lists Charlia Devon Swink, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1023710332

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameEAST TEXAS PREMIER PEDIATRICS PLLC

Location Address1 MEDICAL CENTER BLVD STE BLufkin, TX 75904-3173

Mailing Address210 Autumn Lake DrLufkin, TX 75904-7489 · (214) 729-6038

Phone(936) 671-3428

Organization SubpartNo

Authorized OfficialCharlia Devon SwinkCredentialing · (214) 729-6038

Enumeration DateMarch 20, 2023

NPPES CertifiedMarch 20, 2023

✔ NPI 1023710332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

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 of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1 MEDICAL CENTER BLVD STE B, Lufkin, TX 75904

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 45D2287991

East Texas Premier Pediatrics · Lufkin, TX

Active · expires Oct 21, 2026

CLIA Number45D2287991

Laboratory TypePhysician Office

Certificate Effective DateOctober 22, 2024

Certificate Expiration DateOctober 21, 2026

Laboratory DirectorMs. Bedar S. Doyle

Laboratory Phone(936) 634-5437

Laboratory LocationEast Texas Premier Pediatrics1 Medical Center Blvd, Ste B, Lufkin, TX 75904

CLIA data matches this NPI record on: Address Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Texas Premier Pediatrics PLLC's NPI number?

The NPI number for East Texas Premier Pediatrics PLLC is 1023710332. It was assigned to this organization in the NPPES registry on March 20, 2023.

Where is East Texas Premier Pediatrics PLLC located?

East Texas Premier Pediatrics PLLC is located at 1 Medical Center Blvd Ste B, Lufkin, TX 75904. The listed phone number is (936) 671-3428.

What is East Texas Premier Pediatrics PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does East Texas Premier Pediatrics PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 45D2287991) is associated with this NPI, valid through October 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for East Texas Premier Pediatrics PLLC was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.