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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
2435 COLLEGE DR, TEXARKANA, TX 75501-2788
(903) 255-1240
(903) 831-7740
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
363LF0000X
Family Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
08/03/2023
Last updated
02/26/2025
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