Organization
CHRISTUS HEALTH SOUTHEAST TEXAS
Active
Other names
CHRISTUS Southeast Texas - St. Elizabeth
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL TREVINO (CEO)
(409) 899-7102
Entity
Organization
Contact information
Practice address
2830 CALDER ST, ADMINISTRATION, BEAUMONT, TX 77702-1809
(409) 899-7171
(409) 899-8191
Mailing address
PO BOX 848060, DALLAS, TX 75284-8060
(800) 756-7999
(469) 282-1999
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
000444
TX
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0071717
AETNA
TX
01
—
0910518
CIGNA
TX
05
—
133240507
—
TX
05
—
138296205
—
TX
05
—
138296206
—
TX
05
—
138296207
—
TX
05
—
138296208
—
TX
05
—
1732320
—
LA
01
—
450034
UNICARE
TX
01
—
777020001
USFHP
TX
01
—
8060
UTMB CHIPS
TX
01
—
HH0542
BLUE CROSS
TX
Enumeration date
12/01/2005
Last updated
10/19/2022
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