# CHRISTUS HEALTH ARK-LA-TEX

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CHRISTUS ST. MICHAEL HEALTH SYSTEM
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184623266
- **Authorized official:** JASON MATTHEW ADAMS (PRESIDENT)
- **Authorized official phone:** (702) 738-4546

## Contact information

- **Practice address:** 2600 SAINT MICHAEL DR, TEXARKANA, TX 75503-2372
- **Practice address phone:** (903) 614-1000
- **Mailing address:** PO BOX 3070, TEXARKANA, TX 75504-3070
- **Mailing address phone:** (903) 614-2943
- **Mailing address fax:** (903) 614-2754

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/20/2005
- **Last updated:** 03/04/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0066DU | BLUE CROSS BLUE SHIELD | TX |
| 05 | — | 080804001 | — | TX |
| 05 | — | 145960002 | — | AR |
| 01 | — | 9R022 | BLUE CROSS BLUE SHIELD | AR |
| 01 | — | CJ5358 | RAILROAD | — |
