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Organization
TEXAS HEALTH CARE GROUP OF TEXARKANA, LLC
Active
Organization
TEXAS HEALTH CARE GROUP OF TEXARKANA, LLC
Active
Other names
CHRISTUS HomeCare - St. Michael
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA L. PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
5495 SUMMERHILL RD STE 5495, TEXARKANA, TX 75503-4608
(903) 255-5100
(903) 255-5190
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170722601
—
TX
01
—
HH335H
BLUE CROSS BLUE SHIELD OF
TX
Enumeration date
08/30/2006
Last updated
08/28/2024
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