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Organization

CHRISTUS HEALTH SOUTHEAST TEXAS

Active
Parent organization
CHRISTUS HEALTH
Other names
CHRISTUS SOUTHEAST TEXAS FAMILY PRACTICE CENTER - JASPER, CHRISTUS Southeast Texas - Family Practice Center Jasper
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
1276 S PEACHTREE ST, JASPER, TX 75951-4916
(409) 384-5701
(409) 384-4238
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
137305204
TX
Enumeration date
02/06/2006
Last updated
10/19/2022
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