# CHRISTUS HEALTH ARK-LA-TEX

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

## Provider details

- **NPI number:** 1871916650
- **Authorized official:** JASON MATTHEW ADAMS (PRESIDENT)
- **Authorized official phone:** (903) 614-1000

## Contact information

- **Practice address:** 1007 S WILLIAM ST, ATLANTA, TX 75551-3245
- **Practice address phone:** (903) 614-4200
- **Practice address fax:** (903) 614-4244
- **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 | — | — | Yes |

## Other

- **Enumeration date:** 01/29/2014
- **Last updated:** 10/05/2023