Organization
CHRISTUS HEALTH ARK-LA-TEX
Active
Other names
CHRISTUS ST. MICHAEL HEALTH SYSTEM
Organization subpart
No
Provider details
NPI number
Authorized official
JASON MATTHEW ADAMS (PRESIDENT)
(702) 738-4546
Entity
Organization
Contact information
Practice address
2600 SAINT MICHAEL DR, TEXARKANA, TX 75503-2372
(903) 614-1000
Mailing address
PO BOX 3070, TEXARKANA, TX 75504-3070
(903) 614-2943
(903) 614-2754
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0066DU
BLUE CROSS BLUE SHIELD
TX
05
—
080804001
—
TX
05
—
145960002
—
AR
01
—
9R022
BLUE CROSS BLUE SHIELD
AR
01
—
CJ5358
RAILROAD
—
Enumeration date
07/20/2005
Last updated
03/04/2025
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