CHRISTUS HEALTH SOUTHEAST TEXAS (NPI# 1063485548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063485548 |
| Entity Type | Organization |
| Organization Name | CHRISTUS HEALTH SOUTHEAST TEXAS |
| Other Organization Name | CHRISTUS SOUTHEAST TEXAS - FAMILY PRACTICE CENTER KIRBYVILLE |
| Practice Address |
205 E Lavielle St Kirbyville TX 75956-2119 |
| Mailing Address |
1275 Marvin Hancock Dr Jasper TX 75951-4935 |
| Practice Telephone | 4094232217 |
| Practice Fax Number | 4094232421 |
| Mailing Telephone | 4093841872 |
| Mailing Fax Number | 4093830622 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2015-07-23 |
| Authorized Official Name | MS. DEBORAH R WIEGAND (ADMINISTRATOR) |
| Authorized Official Telephone | 4093841872 |
| Authorized Official Credential | RN |
| Is Organization Subpart | Y |
| Parent Organization Name | CHRISTUS HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 137305206 | 05 |
| Other Name | Type Code |
|---|---|
| CHRISTUS Southeast Texas - Family Practice Center Kirbyville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194797621 | Christus Health Southeast Texas | Clinic/Center | 2427 W Recreational Road 255, Brookeland, TX 75931-6408 | 2006-02-07 |
| 1528030285 | Christus Health Southeast Texas | Clinic/Center | 1276 S Peachtree St, Jasper, TX 75951-4916 | 2006-02-06 |
| 1679557888 | Christus Health Southeast Texas | Nurse Anesthetist, Certified Registered | 2830 Calder St, Administration, Beaumont, TX 77702-1809 | 2005-12-01 |
| 1124482013 | Christus Health Southeast Texas | Clinic/Center | 494 Springhill St, Suite 200, Jasper, TX 75951-4922 | 2016-04-07 |
| 1942517172 | Christus Health Southeast Texas | Physician Assistant | 2830 Calder St, Beaumont, TX 77702-1809 | 2010-09-09 |
| 1427370477 | Christus Health Southeast Texas | Internal Medicine | 2830 Calder St, Beaumont, TX 77702-1809 | 2010-02-18 |
| 1790758738 | Christus Health Southeast Texas | Medicare Defined Swing Bed Unit | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2006-02-09 |
| 1811960362 | Christus Health Southeast Texas | Rehabilitation Unit | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2006-02-07 |
| 1598749707 | Christus Health Southeast Texas | General Acute Care Hospital | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2005-12-01 |
| Street Address |
205 E LAVIELLE ST |
| City | KIRBYVILLE |
| State | TX |
| Zip Code | 75956-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932327228 | Jasper Newton County Public Health District | Public Health or Welfare | 205 E Lavielle St, Kirbyville, TX 75956-2119 | 2007-04-23 |
| 1811947401 | Susan Edge | Nurse Practitioner | 205 E Lavielle St, Kirbyville, TX 75956-2119 | 2006-05-12 |
| 1558329235 | Usman Zafar | Family Medicine | 205 E Lavielle St, Kirbyville, TX 75956-2119 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972653582 | Burke Center | Intermediate Care Facility, Mental Illness | 703 W. Martin Luther King Drive, Kirbyville, TX 75956 | 2007-01-12 |
| 1578620431 | Stewart Elgen Braddock | Dentist | 2091 South Margaret, Kirbyville, TX 75956 | 2007-01-02 |
| 1700984978 | Newton Family Clinic P.a. | Clinic/Center | 104 E. Lavielle Street, Kirbyville, TX 75956 | 2006-09-20 |
| 1972524627 | Jasper Memorial Family Practice Center | Family Medicine | 205 E. Louielle, Kirbyville, TX 75956 | 2006-07-21 |
| 1356328215 | Heartway IIi Corporation | Skilled Nursing Facility | 700 N Herndon Ave, Kirbyville, TX 75956-1518 | 2005-12-30 |
| 1376594390 | Barbara Reneau | Registered Nurse | 700 N Herndon Ave, Kirbyville, TX 75956-1518 | 2006-05-15 |
| 1447200118 | Liberty County Hospital District No 1 | Skilled Nursing Facility | 700 N Herndon Ave, Kirbyville, TX 75956-1518 | 2006-05-11 |
| 1841352440 | Texas Total Care, Inc. | Home Health | 1211 N Margaret Ave, Kirbyville, TX 75956-1619 | 2006-12-14 |
| 1629087630 | East Texas Family Healthcare Pllc | Clinic/Center | 1905 N Margaret Ave, Kirbyville, TX 75956-1652 | 2006-08-07 |
| 1083751820 | John Vincent Sessions | Dentist | 106 W Main St, Kirbyville, TX 75956-2032 | 2007-01-31 |
| Find all providers in zip 75956 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700984978 | Newton Family Clinic P.a. | Clinic/Center | 104 E. Lavielle Street, Kirbyville, TX 75956 | 2006-09-20 |
| 1629087630 | East Texas Family Healthcare Pllc | Clinic/Center | 1905 N Margaret Ave, Kirbyville, TX 75956-1652 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776586 | West Texas Family Medicine, Pllc | Clinic/Center | 315 W Cleveland St, Hale Center, TX 79041 | 2020-10-05 |
| 1780298547 | Coryell County Memorial Hospital Authority | Clinic/Center | 498 Avenue E, Moody, TX 76557-3579 | 2020-08-31 |
| 1760005953 | Eastland Memorial Hospital District | Clinic/Center | Walnut Street Clinic, 200 Walnut Street Clinic, Ranger, TX 76448-7644 | 2020-05-21 |
| 1023631306 | Eastland Memorial Hospital District | Clinic/Center | Emh Regional Healthcare Clinic, 2314 W. Commerce Street, Eastland, TX 76448-7644 | 2020-05-21 |
| 1346862752 | Ascension Seton | Clinic/Center | 249 Sportsplex Dr., Suite 204, Dripping Springs, TX 78620-2350 | 2020-05-08 |
| 1255977211 | Frio Hospital Association | Clinic/Center | 801 Fm W 117, Dilley, TX 78017 | 2019-11-25 |
| 1700447950 | Scott & White Hospital - Marble Falls | Clinic/Center | 105 Fm2342, Kingsland, TX 78639-6010 | 2019-06-27 |
| 1275193005 | Brenham Family Practice and Obstetrics Pa | Clinic/Center | 601 Medical Pkwy Ste D, Brenham, TX 77833-5430 | 2019-06-14 |
| 1588137103 | Nocona Hospital District | Clinic/Center | 108 E Boggess St, Saint Jo, TX 76265-0238 | 2019-01-07 |
| 1033687900 | Gainesville Community Hospital, Inc. | Clinic/Center | 801 N Grand Ave Ste 1&4, Gainesville, TX 76240-3573 | 2018-11-08 |
| Find all providers with the same taxonomy | ||||
| City | KIRBYVILLE |
| Zip Code | 75956 |
Please comment or provide details below to improve the information on CHRISTUS HEALTH SOUTHEAST TEXAS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.