Christus Southeast Texas - Family Practice Center Jasper

LBN: Christus Health Southeast Texas
Christus Southeast Texas - Family Practice Center Jasper is an health care organization with primary practice located at 1276 S Peachtree St , Jasper TX 75951-4916. 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) 384-5701, or through Trevino, Paul via phone (409) 899-7102.

Contact Information

Primary practice address
1276 S Peachtree St Jasper TX 75951-4916
Phone: (409) 384-5701
Fax: (409) 384-4238
Website:
Map and Directions
Authorized official contact:
Name: Trevino, Paul
Phone: (409) 899-7102

Health care specialties

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

Profile Details

NPI number 1528030285
LBN Legal business name Christus Health Southeast Texas
DBA Doing business as Christus Southeast Texas - Family Practice Center Jasper
Authorized official Trevino, Paul
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 6th, 2006
Last updated Oct 19th, 2022 - about 3 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 1528030285 NPPES
Texas MEDICAID 137305204

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