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Christus Health Southeast Texas

Organization Active NPI Rural Health Clinic/Center · Jasper, TX

NPI 1124482013 · NPPES record last updated Apr 7, 2016

Key facts

NPI
1124482013
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
CHRISTUS HEALTH SOUTHEAST TEXAS
Practice address
494 Springhill St
Suite 200
Jasper, TX 75951-4922
Phone
(409) 381-5750
Fax
(409) 384-2018
NPI assigned
Apr 7, 2016
Organization subpart
No

Authorized official

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

Corporate family (same 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.

National Provider Directory

Tax ID family
Christus Health SE Texas (5 organizations share this tax ID)

Locations

494 Springhill St
Ste 200
Jasper, TX 75951
Phone (409) 381-5750

Specialties & licenses

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

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

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

Other providers in Jasper, TX

All providers in Jasper, TX · Rural Health Clinic/Center in Texas

Sources for this page

Verify at the official NPI Registry.