OrganizationActive
Children'S Clinic of Jasper
NPI 1093168049 · Pediatrics Physician · Jasper, TX
Provider details
- NPI number
- 1093168049
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Chere Crocker, Office Manager(936) 634-2214
- License
- H4321 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1008 Dickerson Dr
Jasper, TX 75951-5111
Phone: (936) 634-2214
Fax: (936) 639-9660
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 150638
Lufkin, TX 75915-0638
Registry dates
- Enumerated
- 2016-07-14
- Last updated
- 2016-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.