CHILDREN'S CLINIC OF CROCKETT
NPI 1558834614
Pediatrics in Crockett, TX

Q: What is Children's Clinic Of Crockett's NPI number?

The NPI number for Children's Clinic Of Crockett is 1558834614. It was assigned to this organization in the NPPES registry on January 10, 2019.

Q: What is Children's Clinic Of Crockett's specialty?

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

Active since January 10, 2019

951 E LOOP 304, CROCKETT, TX 75835(936) 634-2214(936) 634-2301 Get Directions Write a Review

NPPES record last updated: January 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Children's Clinic Of Crockett NPPES

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

CHILDREN'S CLINIC OF CROCKETT (NPI 1558834614) is a healthcare organization registered as a pediatrics in Crockett, Texas and active in the NPI registry since January 2019. The organization lists Jeffrey L Glass, Partner, as its authorized official.

NPPES Registry Identity

NPI1558834614

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameCHILDREN'S CLINIC OF CROCKETT

Location Address951 E LOOP 304Crockett, TX 75835-5403

Mailing AddressPo Box 150638Lufkin, TX 75915-0638 · (936) 634-2214 · Fax (936) 634-2301

Phone(936) 634-2214

Fax(936) 634-2301

Organization SubpartNo

Authorized OfficialJeffrey L GlassPartner · (936) 634-2214

Enumeration DateJanuary 10, 2019

✔ NPI 1558834614 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.

951 E LOOP 304, Crockett, TX 75835

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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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL R MCLEOD M.D.

Family Medicine

951 E LOOP 304
CROCKETT, TX 75835

Houston County (936) 655-0500

TEXAS FAMILY DOCTOR, PA

Family Medicine

951 E LOOP 304
CROCKETT, TX 75835

Houston County (936) 655-0500

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 Children's Clinic Of Crockett's NPI number?

The NPI number for Children's Clinic Of Crockett is 1558834614. It was assigned to this organization in the NPPES registry on January 10, 2019.

Where is Children's Clinic Of Crockett located?

Children's Clinic Of Crockett is located at 951 E Loop 304, Crockett, TX 75835. The listed phone number is (936) 634-2214.

What is Children's Clinic Of Crockett's specialty?

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

When was this NPI record last updated?

The NPPES record for Children's Clinic Of Crockett was last updated on January 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.