Organization
CHRISTUS HEALTH SOUTHEAST TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL TREVINO (PRESIDENT / CEO)
(409) 899-7102
Entity
Organization
Contact information
Practice address
2830 CALDER ST, BEAUMONT, TX 77702-1809
(409) 892-7171
(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
363A00000X
Physician Assistant
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133240508
—
TX
Enumeration date
09/09/2010
Last updated
10/19/2022
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