Organization
CORE HEALTH SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY O VILLARREAL PESC (CREDENTIALING SPECIALIST)
(903) 234-4226
Entity
Organization
Contact information
Practice address
1300 N 6TH ST, LONGVIEW, TX 75601-5567
(903) 232-8928
(903) 918-1813
Mailing address
107 WOODBINE PL, LONGVIEW, TX 75601-2912
(903) 758-2471
(903) 234-1639
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
208D00000X
General Practice Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/07/2023
Last updated
06/12/2025
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