# CHRISTUS HEALTH ARK-LA-TEX

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CHRISTUS St Michael Health Care Center Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851930895
- **Authorized official:** JASON MATTHEW ADAMS (PRESIDENT)
- **Authorized official phone:** (702) 738-4546

## Contact information

- **Practice address:** 2604 SAINT MICHAEL DR STE 200, TEXARKANA, TX 75503-2378
- **Practice address phone:** (903) 614-2200
- **Practice address fax:** (903) 614-2868
- **Mailing address:** 2604 SAINT MICHAEL DR STE 200, TEXARKANA, TX 75503-2378
- **Mailing address phone:** (903) 614-2200
- **Mailing address fax:** (903) 614-2868

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 12/21/2019
- **Last updated:** 05/12/2022