Organization
DEEP EAST TEXAS MATERNAL & FAMILY HEALTH PA
Active
Other names
Complete Healthcare Services PA
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN E. GILLILAND MD (PRESIDENT)
(409) 384-3430
Entity
Organization
Contact information
Practice address
315 W HOUSTON ST, JASPER, TX 75951-4013
(409) 384-3430
(409) 383-0571
Mailing address
315 W HOUSTON ST, JASPER, TX 75951-4013
(409) 384-3430
(409) 383-0571
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00R88W
BLUE CROSS/BLUE SHIELD
TX
05
—
127285807
—
TX
Enumeration date
10/10/2006
Last updated
06/12/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us