Organization
CHRISTUS HEALTH SOUTHEAST TEXAS
Active
Organization
CHRISTUS HEALTH SOUTHEAST TEXAS
Active
Parent organization
CHRISTUS HEALTH
Other names
CHRISTUS SOUTHEAST TEXAS FAMILY PRACTICE CENTER - KIRBYVILLE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHRISTUS HEALTH
Authorized official
PAUL TREVINO (PRESIDENT / CEO)
(409) 899-7102
Entity
Organization
Contact information
Practice address
205 E LAVIELLE ST, KIRBYVILLE, TX 75956-2119
(409) 423-2217
(409) 423-2421
Mailing address
PO BOX 848060, DALLAS, TX 75284-8060
(800) 756-7999
(469) 282-1999
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137305206
—
TX
Enumeration date
02/07/2006
Last updated
10/19/2022
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