NPIMap

Organization Active NPI

Christus Health Southeast Texas

Doing business as CHRISTUS Southeast Texas Family Practice and Women's Services Center

  • Rural Health Clinic/Center
  • Jasper, TX
National Provider Identifier
1124482013
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CHRISTUS HEALTH SOUTHEAST TEXAS
Doing business as
CHRISTUS Southeast Texas Family Practice and Women's Services Center
Practice address
494 Springhill St
Suite 200
Jasper, TX 75951-4922
Phone
(409) 381-5750
Fax
(409) 384-2018
NPI assigned
Apr 7, 2016
Last updated
Apr 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paul Trevino
Title
Ceo
Phone
(409) 899-7102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

494 Springhill St
Suite 200
Jasper, TX 75951-4922

Mailing address

PO Box 848060
Dallas, TX 75284-8060
Phone (800) 756-7999

Other names 1

  • CHRISTUS Southeast Texas Family Practice and Women's Services Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Christus Health Southeast Texas5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1124482013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848060",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752848060",
            "telephone_number": "800-756-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 SPRINGHILL ST",
            "address_2": "SUITE 200",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514922",
            "telephone_number": "409-381-5750",
            "fax_number": "409-384-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTUS HEALTH SOUTHEAST TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-07",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "TREVINO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "409-899-7102"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHRISTUS Southeast Texas Family Practice and Women's Services Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jasper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.