# CHRISTUS HEALTH ARK-LA-TEX

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CHRISTUS St Michael Rehabilitation Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467453902
- **Authorized official:** JASON MATTHEW ADAMS (PRESIDENT)
- **Authorized official phone:** (903) 614-2001

## Contact information

- **Practice address:** 2400 SAINT MICHAEL DR, TEXARKANA, TX 75503-2374
- **Practice address phone:** (903) 614-4000
- **Practice address fax:** (903) 614-8463
- **Mailing address:** 2400 SAINT MICHAEL DR, TEXARKANA, TX 75503-2374
- **Mailing address phone:** (903) 614-4000
- **Mailing address fax:** (903) 614-8463

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | — | NULL | Yes |
| 283X00000X | Rehabilitation Hospital | 000713 | TX | — |

## Other

- **Enumeration date:** 08/09/2005
- **Last updated:** 07/09/2022