Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Children's Clinic of Crockett

Organization Pediatrics Physician · NPI 1558834614

Children's Clinic of Crockett is a Pediatrics Physician in Crockett, Texas. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

951 E Loop 304
Crockett, TX 75835-5403
Phone: (936) 634-2214
Fax: (936) 634-2301
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1558834614
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Glass — Partner · (936) 634-2214
NPI enumeratedJanuary 10, 2019
Last updated in NPPESJanuary 10, 2019
Mailing addressPo Box 150638, Lufkin, TX 75915-0638