| Christus Southeast Texas - Family Practice Center Jasper | |
|
1276 S Peachtree St Jasper TX 75951-4916 | |
| (409) 384-5701 | |
| (409) 384-4238 |
| Full Name | Christus Southeast Texas - Family Practice Center Jasper |
|---|---|
| Speciality | Clinic/Center |
| Location | 1276 S Peachtree St, Jasper, Texas |
| Authorized Official Name and Position | Paul Trevino (PRESIDENT / CEO) |
| Authorized Official Contact | 4098997102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christus Southeast Texas - Family Practice Center Jasper Po Box 848060 Dallas TX 75284-8060 Ph: (800) 756-7999 | Christus Southeast Texas - Family Practice Center Jasper 1276 S Peachtree St Jasper TX 75951-4916 Ph: (409) 384-5701 |
| NPI Number | 1528030285 |
|---|---|
| Provider Enumeration Date | 02/06/2006 |
| Last Update Date | 10/19/2022 |
| Medicare PECOS PAC ID | 3476460049 |
|---|---|
| Medicare Enrollment ID | O20040707000488 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528030285 | NPI | - | NPPES |
| 137305204 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Texas) | Primary |
Redd Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 811 N Main St, Jasper, TX 75951 Phone: 409-489-8938 Fax: 251-260-8205 | |
Complete Healthcare Services Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 315 W Houston St, Jasper, TX 75951 Phone: 409-384-3430 Fax: 409-383-0571 | |
Christus Southeast Texas Family Practice And Women's Services Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 494 Springhill St, Suite 200, Jasper, TX 75951 Phone: 409-381-5750 Fax: 409-384-2018 | |
Christus Jasper Memorial Hospital Family Practice Center - Jasper Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1276 S Peachtree St, Jasper, TX 75951 Phone: 361-887-9083 | |
Emd Health Centers Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203b S Main St, Jasper, TX 75951 Phone: 409-224-8289 | |
Hooked On Health Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 494 Springhill St Ste 200, Jasper, TX 75951 Phone: 409-489-4864 Fax: 409-489-4868 | |
Lp -jasper Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5114 Us Highway 190 E, Jasper, TX 75951 Phone: 615-468-3188 |