Organization
CHRISTUS HEALTH SOUTHEAST TEXAS
Active
Parent organization
CHRISTUS HEALTH
Other names
CHRISTUS Southeast Texas - Family Practice Center Sam Rayburn
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHRISTUS HEALTH
Authorized official
MS. DEBORAH R WIEGAND RN (ADMINISTRATOR)
(409) 384-1872
Entity
Organization
Contact information
Practice address
2427 W RECREATIONAL ROAD 255, BROOKELAND, TX 75931-6408
(409) 698-9600
(409) 698-2800
Mailing address
PO BOX 5316, SAM RAYBURN, TX 75951-7701
(409) 384-1872
(409) 383-0622
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137305210
—
TX
Enumeration date
02/07/2006
Last updated
07/23/2015
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