Organization
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
Active
Parent organization
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
Other names
CHRISTUS Children's Kidney Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
Authorized official
CRIS DASKEVICH (CEO)
(210) 704-4899
Entity
Organization
Contact information
Practice address
333 N SANTA ROSA ST, SAN ANTONIO, TX 78207-3108
(210) 704-3705
(210) 704-3777
Mailing address
PO BOX 846131, DALLAS, TX 75284-6131
(800) 756-7999
(469) 282-1791
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
007807
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154536001
—
TX
Enumeration date
07/26/2006
Last updated
08/18/2022
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