Christus Southeast Texas - Family Practice Center Sam Rayburn

LBN: Christus Health Southeast Texas
Christus Southeast Texas - Family Practice Center Sam Rayburn is an health care organization with primary practice located at 2427 W Recreational Road 255 , Brookeland TX 75931-6408. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Christus Health Southeast Texas can be contacted via phone (409) 698-9600, or through Wiegand, Deborah R via phone (409) 384-1872.

Contact Information

Primary practice address
2427 W Recreational Road 255 Brookeland TX 75931-6408
Fax: (409) 698-2800
Website:
Authorized official contact:
Name: Wiegand, Deborah R Registered Nurse (RN)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X Texas

Profile Details

NPI number 1194797621
LBN Legal business name Christus Health Southeast Texas
DBA Doing business as Christus Southeast Texas - Family Practice Center Sam Rayburn
Authorized official Wiegand, Deborah R Registered Nurse (RN)
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 7th, 2006
Last updated Jul 23rd, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194797621 NPPES
Texas MEDICAID 137305210

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