| Christus Medical Group | |
|
Highway 107 And La Feria Ave Santa Rosa TX 78593 | |
| (956) 636-1805 | |
| Not Available |
| Full Name | Christus Medical Group |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | Highway 107 And La Feria Ave, Santa Rosa, Texas |
| Authorized Official Name and Position | Donna Mikulecky (CFO) |
| Authorized Official Contact | 7136818877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christus Medical Group 2600 North Loop W Houston TX 77092-8903 Ph: (713) 681-8877 | Christus Medical Group Highway 107 And La Feria Ave Santa Rosa TX 78593 Ph: (956) 636-1805 |
| NPI Number | 1225130578 |
|---|---|
| Provider Enumeration Date | 09/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225130578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | K7201 (Texas) | Primary |
Su Clinica Familiar Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Hwy 107 And La Feria Avenue, Santa Rosa, TX 78593 Phone: 956-365-6071 Fax: 956-365-6072 | |
Christus Medical Group Santa Rosa Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Highway 107 & La Feria Avenue, Santa Rosa, TX 78593 Phone: 956-636-1805 |