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Organization
CORE HEALTH SYSTEMS
Active
Organization
CORE HEALTH SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY O VILLARREAL PESC (PROVIDER ENROLLMENT/CRED SPECIALIST)
(903) 932-3779
Entity
Organization
Contact information
Practice address
1113 N WALCOTT STREET STE B, JEFFERSON, TX 75657-1034
(903) 758-2471
(903) 234-1639
Mailing address
107 WOODBINE PL, LONGVIEW, TX 75601-2912
(903) 758-2471
(903) 234-1639
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
04/16/2026
Last updated
09/03/2026
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