Provider Demographics
NPI:1255951687
Name:SPLENSER FAMILY MEDICINE
Entity type:Organization
Organization Name:SPLENSER FAMILY MEDICINE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PABLO
Authorized Official - Middle Name:E
Authorized Official - Last Name:SPLENSER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:936-229-3745
Mailing Address - Street 1:1204 S 1ST ST
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75901-4716
Mailing Address - Country:US
Mailing Address - Phone:936-229-3745
Mailing Address - Fax:936-255-2052
Practice Address - Street 1:1204 S 1ST ST
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75901-4716
Practice Address - Country:US
Practice Address - Phone:936-229-3745
Practice Address - Fax:936-255-2052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-27
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty